DR. MARK KIERNAN THOMAS (NPI# 1396714135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396714135 |
| Entity Type | Individual |
| Full Name | DR. MARK KIERNAN THOMAS |
| Credential | M.D. |
| Practice Address |
2700 Se Stratus Ave Unit 303 Mcminnville OR 97128-6257 |
| Practice Telephone | 5034354520 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD180256 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTH CARE | 1315687 | 01 |
| TN | JOHN DEERE HEALTHCARE | TN0184 | 01 |
| TN | TENNCARE | 100011285 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 3071396 | 01 |
| TN | JOHN DEERE HEALTHCARE | TN0134 | 01 |
| TN | AETNA | 4496138 | 01 |
| TN | 3092413 | 05 | |
| TN | RAILROAD MEDICARE | P00259915 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 827 Lamar Alexander Pkwy, Maryville, TN 37802 | 8659840900 | 8659841035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740697937 | Mark David Thomas | Nurse Practitioner | 1534 Clay St Apt 5, San Francisco, CA 94109-3848 | 2014-07-19 |
| 1811233794 | Mark Shannon Thomas | Specialist/Technologist, Other | 2124 Fountain Sq, Snellville, GA 30078-3196 | 2012-12-20 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1003138785 | Mark Carl Thomas | Orthopaedic Surgery | 11611 Eureka Way, South Jordan, UT 84095-7916 | 2010-02-22 |
| 1396988705 | Mark K Thomas | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1093970196 | Mark S Thomas | Respiratory Therapist, Registered | 649 Meadowood St, Grand Junction, CO 81504-6977 | 2008-07-28 |
| 1538359377 | Mark Edward Thomas | Dentist | 3500 Truxtun Avenue, Suite A, Suite B, Bakersfield, CA 93301-3018 | 2007-07-27 |
| 1609919349 | Mark Edward Thomas | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-5230 | 2007-02-14 |
| 1740384346 | Mark Alan Thomas | Chiropractor | 4624 Lebanon Pike, Hermitage, TN 37076-1316 | 2006-09-12 |
| 1750304796 | Mark William Thomas | Medical Genetics, Ph.D. Medical Genetics | 7210 N Main St Ste 205, Clarkston, MI 48346-1575 | 2006-07-25 |
| Street Address |
2700 SE STRATUS AVE UNIT 303 |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-6257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861578684 | Peter K Van Patten | Orthopaedic Surgery | 2700 Se Stratus Ave Unit 303, Mcminnville, OR 97128-6257 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669689949 | Jeffrey Scott Peterson | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2007-05-17 |
| 1962450601 | Christopher A. Blake | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2006-05-05 |
| 1013437862 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 254 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2017-06-22 |
| 1861872434 | Akf Orthopaedics PC | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2015-06-08 |
| 1134477094 | B P Ortho PC | Orthopaedic Surgery | 1589 Sparta St, Suite 203b, Mcminnville, TN 37110-1390 | 2012-08-27 |
| 1043568900 | Peterson Bone and Joint Institute PC | Orthopaedic Surgery | 1589 Sparta St, Suite 203a, Mcminnville, TN 37110-1390 | 2012-08-27 |
| 1851599849 | Elizabeth Ackerman | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2007-07-11 |
| 1255532859 | Christopher A. Blake, Md, PC | Orthopaedic Surgery | 355 Se Baker St, Mcminnville, OR 97128-6039 | 2007-05-30 |
| 1861693095 | Brian Walter Petersen | Orthopaedic Surgery | 1589 Sparta St, Suite 203b, Mcminnville, TN 37110-1390 | 2007-05-28 |
| 1831260678 | Michael Brent Vessely | Orthopaedic Surgery | 2700 Se Stratus Ave, Suite 403, Mcminnville, OR 97128-6255 | 2006-11-13 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
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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.