Organization Active NPI

Sunrise Complementary Medical Center

  • General Practice Physician
  • Bend, OR
National Provider Identifier
1811280290
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUNRISE COMPLEMENTARY MEDICAL CENTER
Practice address
750 NW Charbonneau Street #201
Suite 201
Bend, OR 97701-0000
Phone
(951) 461-4800
NPI assigned
May 18, 2011
Organization subpart
Yes
Parent organization
UNIVERSAL HEALTH ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Dr. Kurt Woeller, D.O.NPI 1558684563
Title
Medical Director
Phone
(951) 461-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

750 NW Charbonneau Street #201
Suite 201
Bend, OR 97701-0000

Mailing address

750 NW Charbonneau Street
Suite 201
Bend, OR 97701-0000
Phone (951) 461-4800

National Provider Directory

National Provider Directory

Locations

750 Charbonneau
Ste 201
Bend, OR 97703
Phone (541) 591-5669

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1811280290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU STREET",
            "address_2": "SUITE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977010000",
            "telephone_number": "951-461-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU STREET #201",
            "address_2": "SUITE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977010000",
            "telephone_number": "951-461-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COMPLEMENTARY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL HEALTH ASSOCIATION",
        "enumeration_date": "2011-05-18",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WOELLER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-461-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.