Douglas K Zirker

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD11909 Issued in OR

Practice address

2747 NE Conners Ave
Bend, OR 97701-8738

Phone

(541) 382-5712

Fax

(541) 382-2605

NPI assigned

Jul 13, 2006

Last updated

Jul 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bend Dermatology Clinic LLC

  • Dermatology Physician
  • Bend, OR
  • NPI 1649244393
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1982629713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 NE CONNERS AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018738",
            "telephone_number": "541-382-5712",
            "fax_number": "541-382-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 NE CONNERS AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018738",
            "telephone_number": "541-382-5712",
            "fax_number": "541-382-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRKER",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD11909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075440",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zila Phillips Therapist
• Erin Irene Zimmerlee, BA, BSN, RN
• Zimmerman Group, LLC (Pacific Northwest Audiology)
• Robert Zimmerman
• Thomas Mitchell Zink, MD
• Mandi Zitzelberger
• Mark J. Zivney, MD
• Sarah Estelle Zobrist
• Zoe Rasmussen LCSW LLC
• Makena Zorza

• Dermatology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.