DOCTORS PARK SURGERY CENTER, LLC
NPI 1417906660
Clinic/Center - Ambulatory Surgical in Bend, OR

Q: What is Doctors Park Surgery Center, LLC's NPI number?

The NPI number for Doctors Park Surgery Center, LLC is 1417906660. It was assigned to this organization in the NPPES registry on May 7, 2006.

Q: What is Doctors Park Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 07, 2006CLIA 38D2045176 · Waiver

2090 NE WYATT CT, SUITE 102, BEND, OR 97701(541) 389-5931(541) 389-5932 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Doctors Park Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOCTORS PARK SURGERY CENTER, LLC (NPI 1417906660) is a healthcare organization registered as an ambulatory surgical in Bend, Oregon and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 7, 2028 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1417906660

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameDOCTORS PARK SURGERY CENTER, LLC

Location Address2090 NE WYATT CT, SUITE 102Bend, OR 97701-7687

Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720

Phone(541) 389-5931

Fax(541) 389-5932

Organization SubpartNo

Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283

Enumeration DateMay 7, 2006

Last NPPES UpdateAugust 30, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1417906660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2090 NE WYATT CT, Bend, OR 97701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2045176

Doctors Park Surgery Center LLC · Bend, OR

Active · expires Aug 7, 2028

CLIA Number38D2045176

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 8, 2026

Certificate Expiration DateAugust 7, 2028

Laboratory DirectorErin Hicks

Laboratory Phone(541) 389-5931

Laboratory LocationDoctors Park Surgery Center LLC2090 NE Wyatt Court, Suite 102, Bend, OR 97701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

8,100 services53 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

827 services683 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

116 services109 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

85 services71 patients

Needle biopsy of prostate gland using image guidance 55706

A needle biopsy of the prostate gland using image guidance is a procedure where a small sample of tissue is collected for testing. This is done with the help of images to ensure precision. It helps doctors diagnose and treat potential health issues.

82 services82 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

68 services54 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

47 services45 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

47 services45 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

44 services41 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

41 services31 patients

Destruction and/or removal of large growth of bladder using an endoscope 52240

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

22 services15 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

21 services18 patients

Removal or manipulation of stone in ureter or kidney using an endoscope 52352

This procedure involves using a thin, flexible instrument called an endoscope to locate and remove or break down stones in the urinary tract. It's a non-invasive method that helps to alleviate discomfort and improve urinary function.

20 services17 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

19 services16 patients

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants C9740

Cystourethroscopy with insertion of transprostatic implant is a procedure where tiny implants are placed in the prostate area via a thin tube inserted through the urinary passage. This helps to manage urinary flow issues. Four or more implants may be used.

15 services15 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

13 services13 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

12 services11 patients

Incision of urethra using an endoscope 52276

This is a minimally invasive procedure where a small instrument, called an endoscope, is used to make an incision in the urethra. The urethra is the tube that allows urine to pass out of the body. This procedure can help address certain health issues, ensuring a smoother flow of urine.

12 services12 patients

Biopsy and/or destruction of growth of ureter or kidney using an endoscope 52354

This procedure involves using a thin, flexible tube (endoscope) to inspect and potentially remove or treat abnormal growths in the kidney or ureter. This can help diagnose or treat certain conditions. It's a safe and effective method performed by trained professionals.

12 services12 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

12 services12 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

12 services12 patients

Steroid injection into urethra stricture using an endoscope 52283

This procedure involves administering a steroid injection to an area in your urinary passage where it has become narrow. An endoscope, a thin tube with a light and camera, is used to locate the exact position for the injection. This can help to widen the narrow area and improve urine flow.

11 services11 patients

Creation of sling around urethra in male to control leakage 53440

This is a procedure where a supportive material is placed around the tube that carries urine from your body. It helps manage leakage by providing additional support to control urine flow. It's a common procedure for those experiencing issues with unexpected leakage.

11 services11 patients

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEREDITH RAE BAKER MD

Urology