MARK EUGENE MILDREN (NPI# 1215227756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215227756 |
| Entity Type | Individual |
| Full Name | MARK EUGENE MILDREN |
| Credential | MD |
| Practice Address |
55 Coburg Rd Eugene OR 97401-2433 |
| Practice Telephone | 5414858111 |
| Mailing Telephone | 5414858111 |
| Mailing Fax Number | 5413426379 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD181473 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Gme Office Csp 21005, Loma Linda, CA 923542804 | 9095586444 |
| Street Address |
55 COBURG RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176480 | Stanley L James | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2005-07-07 |
| 1922624741 | Amelia T Devereaux | Specialist/Technologist, Other | 55 Coburg Rd, Eugene, OR 97401-2433 | 2020-06-17 |
| 1437615499 | Kymry Scott | Nurse Practitioner | 55 Coburg Rd, Eugene, OR 97401-2433 | 2019-02-14 |
| 1235606534 | Zachary Austin Roth | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2018-10-25 |
| 1720565484 | Jessica Lee Cline | Occupational Therapist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2018-07-25 |
| 1073039277 | Steven M Robert | Physical Medicine & Rehabilitation | 55 Coburg Rd, Eugene, OR 97401-2433 | 2017-08-18 |
| 1073041398 | Darby Stark | Registered Nurse | 55 Coburg Rd, Eugene, OR 97401-2433 | 2017-05-31 |
| 1821537408 | Jason Timothy Queer | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2017-02-16 |
| 1932659992 | John Stanievich Jr. | Physician Assistant | 55 Coburg Rd, Eugene, OR 97401-2433 | 2016-10-13 |
| 1700236692 | Luke Seidel | Specialist | 55 Coburg Rd, Eugene, OR 97401-2433 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093931578 | Steven Nayan Shah | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235377 | Steven Frederick Hoff | Orthopaedic Surgery | 5050 Ne Hoyt, Suite 660, Portland, OR 97213-2990 | 2006-02-23 |
| 1861495103 | James Robert Van Horne | Orthopaedic Surgery | 702 Ramsey Ave, Ste 112, Grants Pass, OR 97527-5572 | 2005-05-31 |
| 1851812689 | Sarah Brandt | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 | 2017-07-01 |
| 1669851721 | Isaac Obeng | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 | 2015-05-22 |
| 1407149487 | Daniel John Cowley | Orthopaedic Surgery | 537 Union Ave Fl 2, Grants Pass, OR 97527-5543 | 2011-05-24 |
| 1023307899 | Thomas Derek Kowalik | Orthopaedic Surgery | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2011-04-01 |
| 1619205440 | Portland Joint Reconstruction Clinic, P.C. | Orthopaedic Surgery | 5050 Ne Hoyt St, Suite 668, Portland, OR 97213-2991 | 2009-12-07 |
| 1457689028 | Arthritis & Joint Replacement Clinic, PC | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 660, Portland, OR 97213-2990 | 2009-11-19 |
| 1720252810 | Thomas William Huff | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-04-18 |
| 1194817569 | Seth Leopold Goldsmith | Orthopaedic Surgery | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-29 |
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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.