CENTRAL OREGON DERMATOLOGY, PC
NPI 1336307875
Clinic/Center in Bend, OR
NPI Status: Active since May 31, 2008
Contact Information
388 SW BLUFF DR
BEND, OR
ZIP 97702
Phone: (541) 678-0020
Fax: (541) 383-2174
- Organization
- Clinic/Center
- Accepts Insurance
About CENTRAL OREGON DERMATOLOGY, PC
This page provides the complete NPI Profile along with additional information for Central Oregon Dermatology, Pc, a provider established in Bend, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1336307875 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number MD26648 (OR). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jodi Haney Rhit (Office Manager)
- NPI
- 1336307875
- Provider Name
- CENTRAL OREGON DERMATOLOGY, PC
- Entity Type
- Organization
- Location Address
- 388 SW BLUFF DR BEND, OR 97702
- Location Phone
- (541) 678-0020
- Location Fax
- (541) 383-2174
- Mailing Address
- 388 SW BLUFF DR BEND, OR 97702
- Mailing Phone
- (541) 678-0020
- Mailing Fax
- (541) 383-2174
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2008
- Last Update Date
- 03-07-2023
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD26648
- License State
- OR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 |
|---|---|---|---|
| MD26648 | OTHER (01) | OR | LICENSE |
| 241835 | MEDICAID (05) | OR | |
| 1609815166 | OTHER (01) | OR | NPI (INDIVIDUAL) |
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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 | 3 | 3 | 6 | 3 | 0 | 7 | 8 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 6 | 0 | 14 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 6 + 0 + 1 + 4 + 8 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1336307875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
MARK A HALL M.D.
Dermatology
388 SW BLUFF DR
BEND, OR
ZIP 97702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336307875, enumerated as an "organization" on May 31, 2008.
The provider is located at 388 SW BLUFF DR BEND, OR 97702 and the phone number is (541) 678-0020.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
