DR. MARK STEPHEN ROBERTSON (NPI# 1487679700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487679700 |
| Entity Type | Individual |
| Full Name | DR. MARK STEPHEN ROBERTSON |
| Credential | D.O. |
| Practice Address |
950 29th Ave Sw Albany OR 97321-3415 |
| Practice Telephone | 5419670404 |
| Practice Fax Number | 5419676548 |
| Mailing Telephone | 5419670404 |
| Mailing Fax Number | 5419676548 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
DO23994 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286847 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619324498 | Mark Robertson | Massage Therapist | 8329 76th Ave Ne, Marysville, WA 98270-7602 | 2016-05-20 |
| 1962774521 | Mark B Robertson | Pharmacist | 3699 Hiway 95, Ste 100, Bullhead City, AZ 86442-9118 | 2012-01-29 |
| 1134294937 | Mark Douglas Robertson | Optometrist | 2701 David Mcleod Blvd., Florence, SC 29501 | 2006-11-21 |
| 1962457697 | Mark Alan Robertson | Otolaryngology | 205 Se Howard Ave, Bartlesville, OK 74006-2204 | 2006-05-23 |
| 1235448150 | Mark Alan Robertson | Dentist | 25 W Water St, Harrisonburg, VA 22801-3624 | 2010-09-27 |
| 1326278003 | Mark Robertson | Physical Therapist | 2021 Vanesta Pl, Suite C, Manhattan, KS 66503-0380 | 2009-07-16 |
| 1821129495 | Mark Eric Robertson | Physical Therapist | 600 W 21st Street, Red Lodge, MT 59068 | 2007-03-08 |
| 1720142466 | Mark Davis Robertson | Optometrist | 503900 Mooty 13 Fishermen Beachroad, Garapan, Saipan, MP 96950-3900 | 2006-12-20 |
| 1063584316 | Mark A Robertson | Pharmacist | 42 Lambert St Ste 311, Staunton, VA 24401-2421 | 2006-11-14 |
| 1144336660 | Mark Nicholas Robertson | Counselor | 1947 N California St, Suite C, Stockton, CA 95204 | 2006-08-21 |
| Street Address |
950 29TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669596862 | Myrl S Stanley | Registered Nurse | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-03-16 |
| 1205975588 | Mark S. Robertson, P.C. | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-02-05 |
| 1558436048 | Vallery A. Kesterson | Hearing Instrument Specialist | 950 29th Ave Sw, Albany, OR 97321-3415 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205975588 | Mark S. Robertson, P.C. | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841498300 | Richard K Huffaker | Otolaryngology | 1600 Nw Sixth Street, Grants Pass, OR 97526-1064 | 2007-07-06 |
| 1134461478 | Deniz Gerecci | Otolaryngology | 3181 Sw Sam Jackson Park Rd, Ohsu, Portland, OR 97239-3011 | 2013-03-25 |
| 1366572158 | Ear Nose and Throat Associates of Grants Pass PC | Otolaryngology | 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094 | 2007-03-07 |
| 1699855437 | Dana Sainsbury Smith | Otolaryngology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-10-16 |
| 1649280371 | Robert Lee Roberts | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-08-08 |
| 1972543106 | James Chan | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-06-07 |
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| 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.