East Oregon Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071538 Issued in OR

Legal business name

EAST OREGON SURGERY CENTER, LLC

Practice address

1050 Southgate
Ste B
Pendleton, OR 97801-3953

Phone

(541) 276-3212

Fax

(541) 278-8003

NPI assigned

Jun 15, 2005

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bart A Adams, MDNPI 1851344667

Title

Medical Director

Phone

(541) 276-3212

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

East Oregon Surgery Center LLCCCN 38C0001047

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

• Bart A Adams, MD

  • Ophthalmology Physician
  • Pendleton, OR
  • NPI 1851344667
  NPD (past) Authorized official

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1922003052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SOUTHGATE",
            "address_2": "STE B",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013953",
            "telephone_number": "541-276-3212",
            "fax_number": "541-278-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SOUTHGATE",
            "address_2": "STE B",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013953",
            "telephone_number": "541-276-3212",
            "fax_number": "541-278-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST OREGON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "541-276-3212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114033",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Dunn, CADC R
• Sheryl Lynn Duran
• Durk V Irwin DMD PC
• Joyce Rondi Duval, LPC
• Joseph Dyer, QMHA
• Eastern Or Dermatology
• Eastern Oregon Alcoholism Foundation
• Eastern Oregon Family Eyecare
• Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc
• Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc

• Ambulatory Surgical Clinic/Center in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.