OrganizationActive
Cardiothoracic Surgeon, PC
NPI 1699706408 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Bend, OR
Provider details
- NPI number
- 1699706408
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Blizzard, Employee(541) 388-1636
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2705 Ne Conners Ave
#100
Bend, OR 97701-6904
Phone: (541) 388-1636
Street-level locationGet directions
Mailing address
2705 Ne Conners Ave
Bend, OR 97701-6904
Registry dates
- Enumerated
- 2006-07-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.