Organization Active NPI

M. Jamie McAllister, D. O., P. C.

  • Addiction Medicine (Family Medicine) Physician
  • Bend, OR
National Provider Identifier
1861508632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
DO17061 Issued in OR
Legal business name
M. JAMIE MCALLISTER, D. O., P. C.
Practice address
711 NE Irving Ave.
Bend, OR 97701-4738
Phone
(541) 330-9110
Fax
(541) 330-9112
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary James McAllister, D.O.NPI 1316929821
Title
President
Phone
(541) 330-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X DO17061 OR Primary

Addresses

Primary practice location

711 NE Irving Ave.
Bend, OR 97701-4738

Mailing address

711 NE Irving Ave.
Bend, OR 97701-4738
Phone (541) 330-9110

National Provider Directory

National Provider Directory

Locations

711 NE Irving Ave
#B
Bend, OR 97701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861508632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NE IRVING AVE.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014738",
            "telephone_number": "541-330-9110",
            "fax_number": "541-330-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NE IRVING AVE.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014738",
            "telephone_number": "541-330-9110",
            "fax_number": "541-330-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. JAMIE MCALLISTER, D. O., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-330-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OR",
            "license": "DO17061",
            "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 Aug 22, 2020; 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.