CENTRAL OREGON SPINE AND SPORTS, LLC
NPI 1497293054
Physical Medicine & Rehabilitation in Bend, OR
NPI Status: Active since February 03, 2017
Contact Information
2115 NE WYATT CT
SUITE 101
BEND, OR
ZIP 97701
Phone: (541) 420-4833
Fax: (541) 228-3670
- Organization
- Physical Medicine & Rehabilitation
- Accepts Insurance
About CENTRAL OREGON SPINE AND SPORTS, LLC
This page provides the complete NPI Profile along with additional information for Central Oregon Spine And Sports, Llc, a provider established in Bend, Oregon operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1497293054 assigned on February 2017. The practitioner's primary taxonomy code is 208100000X with license number MD152056 (OR). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kimberly M Booher Ba (Administrator)
- NPI
- 1497293054
- Provider Name
- CENTRAL OREGON SPINE AND SPORTS, LLC
- Entity Type
- Organization
- Location Address
- 2115 NE WYATT CT SUITE 101 BEND, OR 97701
- Location Phone
- (541) 420-4833
- Location Fax
- (541) 228-3670
- Mailing Address
- 2115 NE WYATT CT SUITE 101 BEND, OR 97701
- Mailing Phone
- (541) 420-4833
- Mailing Fax
- (541) 228-3670
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-03-2017
- Last Update Date
- 02-03-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD152056
- License State
- OR
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | OR | TAX ID |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 9 | 3 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 9 | 6 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 9 + 6 + 0 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1497293054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952355828 | DR. DAVID A DONNELLY M.D. Individual | Internal Medicine | 2115 NE WYATT CT SUITE 201 BEND, OR 97701 (541) 382-9110 |
| 1578519773 | DR. BRADFORD CHARLES DORSAY M.D. Individual | Internal Medicine | 2115 NE WYATT CT SUITE 201 BEND, OR 97701 (541) 382-9110 |
| 1841306123 | DR. STEPHEN ANDREW ERAKER M.D. Individual | Internal Medicine | 2115 NE WYATT CT BEND VA CLINIC, SUITE 201 BEND, OR 97701 (541) 381-9110 |
| 1447545173 | MRS. CHRISTINE EMILY KELLER LCSW Individual | Social Worker (Clinical) | 2115 NE WYATT CT SUITE 201 BEND, OR 97701 (541) 647-5226 |
| 1861930240 | MOUNTAIN VIEW NATUROPATHIC MEDICINE, INC. Organization | Naturopath | 2115 NE WYATT CT SUITE 101 BEND, OR 97701 (541) 249-3626 |
| 1477949766 | DESCHUTES SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 2115 NE WYATT CT SUITE 105 BEND, OR 97701 (541) 585-2400 |
| 1588674279 | NORTHWEST MEDICAL SPECIALIST LLC Organization | Neurological Surgery | 2115 NE WYATT CT SUITE #201 BEND, OR 97701 (541) 585-2400 |
| 1902299902 | KRISTINE ANN RAUDY PA-C Individual | Physician Assistant (Medical) | 2115 NE WYATT CT SUITE 201 BEND, OR 97701 (541) 545-2400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497293054, enumerated in the NPI registry as an "organization" on February 03, 2017
The provider is located at 2115 Ne Wyatt Ct Suite 101 Bend, Or 97701 and the phone number is (541) 420-4833
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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