Doctors Park Surgery Center, LLC
Doctors Park Surgery Center, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Bend, OR, holding Type 2 (organization) NPI 1417906660 since 2006. The authorized official on file is Jeffrey Snodgrass, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417906660 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Doctors Park Surgery Center, LLC |
| Practice address | 2090 NE WYATT CT, SUITE 102, Bend, OR, 97701 |
| Phone | 5413895931 |
| Fax | 5413895932 |
| Enumeration date | 2006-05-07 |
| Last updated in NPPES | 2022-08-30 |
Authorized official
| Name | Jeffrey Snodgrass |
|---|---|
| Title | President |
| Phone | 6156651283 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Doctors Park Surgery Center, LLC NPI: 1417906660 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 2090 NE WYATT CT, SUITE 102, Bend, OR, 97701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962464271 | Nora Takla | Individual | Urology Physician | Bend, OR |
| 1316909773 | Michel Boileau | Individual | Urology Physician | Bend, OR |
| 1629030523 | Brian O'Hollaren | Individual | Urology Physician | Bend, OR |
| 1518929439 | Jack Brewer | Individual | Urology Physician | Bend, OR |
| 1508815754 | Bend Urology Associates, LLC | Organization | Urology Physician | Bend, OR |
| 1992838866 | Frank Cobarrubia Dpmpc | Organization | Foot & Ankle Surgery Podiatrist | Bend, OR |
| 1316161680 | Meredith Baker | Individual | Urology Physician | Bend, OR |
| 1730355488 | Michelle Fitts | Individual | Surgical Physician Assistant | Bend, OR |
Verify this record
Cross-check NPI 1417906660 against the authoritative CMS record: view Doctors Park Surgery Center, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Doctors Park Surgery Center, LLC?
Who is the authorized official for Doctors Park Surgery Center, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-30.