DR. MARK C PHILLIPS


Address: 860 N Myrtle Rd, Myrtle Creek, OR 97457-9626
Phone: 5418633410

DR. MARK C PHILLIPS (NPI# 1275568735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275568735
Entity Type Individual
Full Name DR. MARK C PHILLIPS
Other Name MARK C PHILLIPS
Credential MD
Practice Address 860 N Myrtle Rd
Myrtle Creek
OR 97457-9626
Practice Telephone 5418633410
Practice Fax Number 5418636435
Mailing Telephone 5418633410
Mailing Fax Number 5418636435
Enumeration Date 2006-07-12
Last Update Date 2015-10-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 173000000X Legal Medicine MD18731 OR Other Service Providers
Y 208D00000X General Practice MD18731 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR STATE LICENSE # MD18731 01
OR 065586 05
OR OR DEA # BP1202011 01

Other Providers MARK PHILLIPS

NPI Name Taxonomy Address Enumeration
1033697073 Mark Phillips Naturopath 1170 N Gilbert Rd Ste 15, Gilbert, AZ 85234-2340 2018-08-01
1639699663 Mark W. Phillips Nurse Practitioner 1 S School Ave Ste 200, Sarasota, FL 34237 2017-06-21
1225589328 Mark Phillips Counselor 200 Century Park S Ste 116, Birmingham, AL 35226-3923 2016-10-24
1619293735 Mark A Phillips Social Worker 65 Technology Way Ste 1e3, Nashua, NH 03060 2010-04-14
1245403211 Mark Terrance Phillips Dentist 4024 8th Ln, Anoka, MN 55303-1251 2008-04-10
1598704256 Mark D. Phillips Dentist 311 N Breiel Blvd, Middletown, OH 45042-3868 2006-06-06
1548212863 Mark J Phillips Family Medicine 3627 Webber St, Suite A, Sarasota, FL 34232-4412 2006-05-16
1558336297 Mark Lynn Phillips Specialist 1 Raider Circle, Northbrook High School, Houston, TX 77080 2006-02-17
1275511966 Mark Lucas Phillips Pain Medicine 522 N Elam Ave, Ste 203, Greensboro, NC 27403-1151 2006-01-04
1366441644 Mark R Phillips Orthopaedic Surgery 303 N William Kumpf Blvd, Peoria, IL 61605-2507 2005-07-19

Office Location

Street Address 860 N MYRTLE RD
City MYRTLE CREEK
State OR
Zip Code 97457-9626

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629542626 Reva Jeanne Whitson Massage Therapist 837 N Main St., Myrtle Creek, OR 97457 2019-01-14
1235619578 Mark Francis Kleinschmidt Massage Therapist 213 S.pacific Hwy., St. 101, Myrtle Creek, OR 97457 2018-08-16
1992183859 Centennial Medical Group East, LLC Clinic/Center 145 E. Broadway, Myrtle Creek, OR 97457 2015-05-12
1356504443 Jd Tucker Rohm Chiropractor 213 So. Old Pacific Highway, Suite 101, Myrtle Creek, OR 97457 2008-07-08
1295998920 Paula Jo Cramer Nurse Practitioner 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 2008-07-02
1952529810 Jackie J Sochin Nurse Practitioner 790 S. Main, Myrtle Creek, OR 97457 2007-04-23
1255480786 James A. Lawson Jr. Dentist 434 N. E. 2nd St., Myrtle Creek, OR 97457 2007-01-10
1194809921 Kenneth Lee Mills Dentist 244 Ne Division, Myrtle Creek, OR 97457 2006-10-25
1164516365 Jaime Francisco Serranzana General Practice 925 Nw Pacific Hwy, Myrtle Creek, OR 97457 2006-10-03
1407968472 Lynn E Goodwin Optometrist 425 N Main, Myrtle Creek, OR 97457 2006-08-31
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164516365 Jaime Francisco Serranzana General Practice 925 Nw Pacific Hwy, Myrtle Creek, OR 97457 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285234674 Sme Hawaii PC Inc General Practice 6021 Se Heike St, Hillsboro, OR 97123-8296 2020-10-27
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1346751443 Providence Health & Services Oregon General Practice 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 2017-10-16
1801333901 Kaiser Foundation Health Plan of The Northwest General Practice 3175 Nw Aloclek Dr, Hillsboro, OR 97124-7135 2017-01-26
1336697143 Rita Lawler General Practice 8353 Se Clatsop Ct, Portland, OR 97266-6159 2016-09-21
1821541939 Samuel R. Sabo General Practice 18171 Waldow Rd., Oregon City, OR 97045 2016-07-26
1659730760 Propel Network, LLC General Practice 14525 Sw Millikan Way, Beaverton, OR 97005-2343 2016-02-17
1235526849 Hollis Lule Augee General Practice 5151 S.w. 88th Ave., Portland, OR 97225-1717 2015-04-21
1023428034 Victoria L. Larson General Practice 10,000 Se 222nd Ave., Damascus, OR 97089-6517 2014-04-29
1093134496 Red Leaf Natural Health Clinic General Practice 833 Sw 11th Ave Ste 1018, Portland, OR 97205-2124 2014-04-14
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Competitor

Search similar providers

City MYRTLE CREEK
Zip Code 97457

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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