DR. KEVIN P. MARKS (NPI# 1164499166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164499166 |
| Entity Type | Individual |
| Full Name | DR. KEVIN P. MARKS |
| Credential | M.D. |
| Practice Address |
4010 Aerial Way Eugene OR 97402-9757 |
| Mailing Address |
Po Box 24410 Eugene OR 97402 |
| Practice Telephone | 5412428500 |
| Practice Fax Number | 5412428491 |
| Mailing Telephone | 5419844301 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD23017 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287635 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619458031 | Kevin Marks | Behavioral Analyst | 210 Rutledge Ave, East Orange, NJ 07017-4910 | 2018-08-23 |
| 1679585228 | Kevin Troy Marks | Internal Medicine | 1331 W Grand Pkwy N, Suite 350, Katy, TX 77493-2710 | 2006-08-12 |
| Street Address |
4010 AERIAL WAY |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-9757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984588 | Bradley Thiren Johnson | Pharmacist | 4010 Aerial Way, Eugene, OR 97402-9757 | 2005-07-07 |
| 1093314122 | Tiffany Marie Noone | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2020-10-20 |
| 1093345654 | Michelle Jenny Gohl | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2020-01-23 |
| 1821647173 | Haley Grace Ruljancich | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2019-09-10 |
| 1891264974 | Shawn M Jones | Registered Nurse | 4010 Aerial Way, Eugene, OR 97402-9757 | 2018-11-18 |
| 1679055594 | Joeann Pansoy | Family Medicine | 4010 Aerial Way, Eugene, OR 97402-9757 | 2018-09-06 |
| 1962953281 | Gabrielle Lorraine Lauf | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-10-21 |
| 1972052843 | Heidi Holling | Nurse Practitioner | 4010 Aerial Way, Family Medicine, Eugene, OR 97402-9757 | 2016-10-03 |
| 1548713399 | Samantha Marie Radel | Nurse Practitioner | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-07-28 |
| 1316396385 | Katherine Elizabeth Omernick | Pediatrics | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045043 | James Allen Johnson | Pediatrics | 4350 Wendell Ln, Eugene, OR 97405-7038 | 2012-09-14 |
| 1871737726 | Angela R Zallen | Pediatrics | 995 Willagillespie Rd Ste 100, Eugene, OR 97401-2186 | 2009-04-22 |
| 1053489351 | Nicole Maria-phyllis Hauck | Pediatrics | 151 W 7th Ave, Suite 100, Eugene, OR 97401-1100 | 2006-12-04 |
| 1053399683 | Bruce S Strimling | Pediatrics | 4135 Quest Dr, Eugene, OR 97402-8768 | 2006-01-04 |
| 1346221439 | Jaylynn Kao | Pediatrics | 1580 Valley River Dr, Suite 210, Eugene, OR 97401-2116 | 2005-11-07 |
| 1235128471 | Craig A Lash | Pediatrics | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2005-10-20 |
| 1235589136 | Jayme Mcallister | Pediatrics | 1200 Hilyard St Ste 440, Eugene, OR 97401-8122 | 2016-06-21 |
| 1316396385 | Katherine Elizabeth Omernick | Pediatrics | 4010 Aerial Way, Eugene, OR 97402-9757 | 2016-06-09 |
| 1073993697 | Elianne Berenice Castaneda | Pediatrics | 151 W 7th Ave Ste 100, Eugene, OR 97401-2676 | 2015-06-09 |
| 1003134651 | Joshua James Lovvorn | Pediatrics | 1200 Hilyard St, Suite 440, Eugene, OR 97401-8122 | 2010-05-06 |
| Find all providers in EUGENE | ||||
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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.