Blake A Nonweiler in Bend - Sports Medicine
Blake A Nonweiler - NPI 1912923152
Blake A Nonweiler is a Sports Medicine in Bend, Oregon. Blake A Nonweiler practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Blake A Nonweiler is 1912923152. The last update date is 2020-01-23.
Blake A Nonweiler's current location address is 2200 Ne Neff Rd Ste 200, Bend, Oregon. You can contact this provider via phone number 5413823344 and fax number 5413222286. The mailing address for Blake A Nonweiler is 2200 Ne Neff Rd Ste 200, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake A Nonweiler |
|---|---|
| Address | 2200 Ne Neff Rd Ste 200, Bend, Oregon |
| Phone Number | 5413823344 |
| Fax Number | 5413222286 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912923152 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2020-01-23 |
Provider Mailing Address Detail
| Address | 2200 Ne Neff Rd Ste 200 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014281 |
| Phone Number | 5413823344 |
| Fax Number | 5413222286 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD19775 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77537 | OR | -- |
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What is the unique identifier code issued to Blake A Nonweiler by the Centers for Medicare & Medicaid Services (CMS)?
The Blake A Nonweiler has been assigned the NPI (National Provider Identifier) 1912923152. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Blake A Nonweiler located?
The Blake A Nonweiler is located at 2200 Ne Neff Rd Ste 200, Bend, OR 977014281.
What is the Blake A Nonweiler's specialty and taxonomy code?
The Blake A Nonweiler's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Blake A Nonweiler receive its 1912923152 assignment from the Centers for Medicare & Medicaid Services?
The Blake A Nonweiler was assigned its 1912923152 by the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date were the Blake A Nonweiler's details last updated?
The information pertaining to the Blake A Nonweiler, including its address, specialty, and other details, was most recently updated on 2020-01-23.