DR. MARK TERRENCE FAY (NPI# 1972563781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972563781 |
| Entity Type | Individual |
| Full Name | DR. MARK TERRENCE FAY |
| Credential | M.D. |
| Practice Address |
2640 Biehn St Klamath Falls OR 97601-1181 |
| Practice Telephone | 5418843148 |
| Practice Fax Number | 5418843373 |
| Mailing Telephone | 5418843148 |
| Mailing Fax Number | 5418843373 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | G58765 | CA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | MD16253 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | VISION SERVICE PLAN | F2640501647611 | 01 |
| OR | BCBS | 004571003 | 01 |
| CA | MEDI-CAL | XPY094350 | 01 |
| OR | 042937 | 05 | |
| OR | TRICARE | A002 | 01 |
| OR | RAILROAD MEDICARE | 180011820 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Thomason Ln, Alturas, CA 961013150 | 5302332020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750320172 | Mark David Fay | Physical Therapist | 8080 Bluebonnet Blvd, Suite 110, Baton Rouge, LA 70810-7827 | 2006-06-05 |
| Street Address |
2640 BIEHN ST |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376502807 | John Zelnar | Optometrist | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2006-03-22 |
| 1467952895 | Kendra Michelle Cundiff | Nurse Practitioner | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2018-02-12 |
| 1780001578 | Center for Vaginal Excellence | Clinic/Center | 2640 Biehn St, Suite 1, Klamath Falls, OR 97601-1181 | 2014-03-18 |
| 1720397094 | Oregon Center for Vaginal Excellence Inc. | Obstetrics & Gynecology | 2640 Biehn St, Suite 1, Klamath Falls, OR 97601-1181 | 2010-10-04 |
| 1720241425 | Chelsea Patricia Crabtree | Obstetrics & Gynecology | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2008-07-03 |
| 1023212925 | Mountain View Urology PC | Specialist | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2007-06-13 |
| 1205871050 | Klamath Surgery Center LLC | Clinic/Center | 2640 Biehn St, Suite 2, Klamath Falls, OR 97601 | 2006-06-17 |
| 1730148271 | Klamath Ophthalmology PC | Optometrist | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2006-03-22 |
| 1447219977 | Edwin Tuhy Jr. | Optometrist | 2640 Biehn St, Klamath Falls, OR 97601-1181 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245592625 | Jonathan Dean Fay | Ophthalmology | 2640 Biehn St Ste 3, Klamath Falls, OR 97601-1181 | 2012-06-12 |
| 1306055413 | Scott Kenneth Stevens | Ophthalmology | 2640 Biehn St., Suite 3, Klamath Ophthalmology, PC Dba Klamath Eye Center, Klamath Falls, OR 97601-1181 | 2007-05-22 |
| 1962456335 | Daniel Orville Benson | Ophthalmology | 2615 Almond St, Klamath Falls, OR 97601-1176 | 2006-05-20 |
| 1568526952 | Teresa Roleen Graham | Ophthalmology | 1000 Pine St, Klamath Falls, OR 97601 | 2006-12-20 |
| 1336201235 | Teresa Roleen Graham | Ophthalmology | 1000 Pine St, Klamath Falls, OR 97601 | 2006-12-15 |
| 1285668954 | Daniel O Benson, M.d., P.C. | Ophthalmology | 2615 Almond St, Klamath Falls, OR 97601-1176 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1922483130 | Bradley Seely Md PC | Ophthalmology | 341 Nw Medical Loop Ste 120, Roseburg, OR 97471-5546 | 2015-07-29 |
| 1821472960 | Complete Eye Care, Inc. | Ophthalmology | 500 Nw 20th St Ste 100, Gresham, OR 97030-2442 | 2015-07-18 |
| 1598184525 | Steven Tersigni | Ophthalmology | 66602 Swallow Rd, North Bend, OR 97459-8277 | 2014-04-07 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1962824060 | Oregon Retina, LLP | Ophthalmology | 855 W Central Blvd, Coquille, OR 97423-1095 | 2014-01-09 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.