Central Oregon Surgery Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

CENTRAL OREGON SURGERY CENTER, LLC

Practice address

1835 NW Pence LN Ste 100
Bend, OR 97703-1551

Phone

(541) 323-6184

Fax

(541) 323-6183

NPI assigned

May 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica M Reagan

Title

Director of Health System RCM

Phone

(541) 278-4340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Central Oregon Surgery Center LLCCCN 38C0001109

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Charles Health System, Inc.

  • Critical Access Hospital
  • Madras, OR
  • NPI 1356389894

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1760861835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 SW PERKINS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014302",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 NW PENCE LN STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031551",
            "telephone_number": "541-323-6184",
            "fax_number": "541-323-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SYSTEM RCM",
        "authorized_official_telephone_number": "541-278-4340"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Oregon Regional Pathology Services, LLC
• Central Oregon Sleep Disorders Center,LLC
• Central Oregon Speech and Language
• Central Oregon Spine and Sports, LLC
• Central Oregon Surgery Center
• Central Oregon Surgical Assisting, LLC
• Central Oregon Surgical Institute, LLC
• Central Oregon TMS LLC, Dba MD Telepsychiatry
• Central Sport and Spine LLC
• Cep America - Neurology PC

• Endoscopy Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Endoscopy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.