Endocrinology Services Northwest, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD26567 Issued in OR

Legal business name

ENDOCRINOLOGY SERVICES NORTHWEST, LLC

Practice address

2084 NE Professional CT
Bend, OR 97701-6077

Phone

(541) 317-5600

Fax

(541) 317-5676

NPI assigned

Nov 25, 2008

Last updated

Nov 17, 2010By 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

Daniel Michael McCarthy

Title

Manager

Phone

(541) 815-1409

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Katie Marie Lahusen

  • Physician Assistant
  • Bend, OR
  • NPI 1336601483
  NPD
• Kelsey Leigh Perfect, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1528515475
  NPD
• Kristen Anne Tremaine-McCarthy, MD

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1508420456

  Single Specialty

  NPD

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1952556490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090490",
            "telephone_number": "541-330-2641",
            "fax_number": "541-388-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 NE PROFESSIONAL CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016077",
            "telephone_number": "541-317-5600",
            "fax_number": "541-317-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY SERVICES NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-815-1409"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD26567",
            "primary": true
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OR",
            "license": "MD26567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131805",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278317",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Isabella Rhyc Empronto
• Jeffrey William Emrick, LCSW, CADC III
• Encore Equipment
• Endeavor Chiropractic, LLC
• Tara Michelle Endries, L.M.T. , A.T.C.
• Nancy E Endter, PT
• Andrew W. Engel, D.M.D. P.C.
• Kelley Grace Engel
• Matthew B Engel, DMD

• Endocrinology, Diabetes & Metabolism Physician in Bend, OR
• Providers in Bend, OR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.