MARK S. ROBERTSON, P.C. (NPI# 1205975588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205975588 |
| Entity Type | Organization |
| Organization Name | MARK S. ROBERTSON, P.C. |
| Practice Address |
950 29th Ave Sw Albany OR 97321-3415 |
| Practice Telephone | 5419670404 |
| Practice Fax Number | 5419677072 |
| Mailing Telephone | 5419670404 |
| Mailing Fax Number | 5419676548 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | DR. MARK STEPHEN ROBERTSON (PHYSICIAN, OWNER) |
| Authorized Official Telephone | 5419670404 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | 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 |
| Street Address |
950 29TH AVE SW |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487679700 | Mark Stephen Robertson | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2006-07-13 |
| 1669596862 | Myrl S Stanley | Registered Nurse | 950 29th Ave Sw, Albany, OR 97321-3415 | 2007-03-16 |
| 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 |
|---|---|---|---|---|
| 1487679700 | Mark Stephen Robertson | Otolaryngology | 950 29th Ave Sw, Albany, OR 97321-3415 | 2006-07-13 |
| 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.