DR. MARK JACOB SORENSEN (NPI# 1841219193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841219193 |
| Entity Type | Individual |
| Full Name | DR. MARK JACOB SORENSEN |
| Credential | M.D. |
| Practice Address |
75 Claremont St Suite B Kalispell MT 59901-3585 |
| Practice Telephone | 4067522277 |
| Practice Fax Number | 4067525029 |
| Mailing Telephone | 4067522277 |
| Mailing Fax Number | 4067525029 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4265 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | TRICARE | 810375497 59901 A001 | 01 |
| MT | 0050882 | 05 | |
| MT | BLUE CROSS OF MONTANA | 12270 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659690352 | Mark Weldon Sorensen | Dentist | 8101 E Florentine Rd, Prescott Valley, AZ 86314-8454 | 2010-05-20 |
| 1518010180 | Mark Francis Sorensen | Psychiatry & Neurology | 300 W 72nd St, Suite 1-d, New York, NY 10023-2660 | 2007-01-18 |
| 1245332501 | Mark Dana Sorensen | Clinic/Center | 4 Hillcrest Plaza Way, Montrose, CO 81401-5876 | 2006-09-05 |
| 1922510957 | Mark Sorensen | Case Manager/Care Coordinator | 390 40th St, Oakland, CA 94609 | 2017-10-31 |
| 1598284317 | Mark Steven Sorensen | Hearing Instrument Specialist | 2230 33rd St Ste 8, Spirit Lake, IA 51360-7632 | 2017-09-12 |
| 1932270345 | Mark Sorensen | Psychologist | 30 Lincoln St, Newton, MA 02461-1527 | 2006-11-10 |
| 1053383877 | Mark Robert Sorensen | Internal Medicine | 211 S Main St, Suite 205, Cape May Court House, NJ 08210-2264 | 2006-02-06 |
| Street Address |
75 CLAREMONT ST SUITE B |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808478 | Joseph Hugh Boyle | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2005-08-22 |
| 1891151122 | Kalispell Regional Medical Center Inc | Internal Medicine | 75 Claremont St, Suite E, Kalispell, MT 59901-3585 | 2015-12-31 |
| 1184011561 | Healthcenter Northwest LLC | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2015-04-23 |
| 1821429374 | Anne Green | Nurse Practitioner | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2013-12-10 |
| 1174956973 | Kalispell Regional Medical Center Inc | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2013-08-15 |
| 1588912836 | Laci Ann Burk | Nurse Practitioner | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2012-08-16 |
| 1215223029 | Benjamin Todd Eastham | Obstetrics & Gynecology | 75 Claremont St, Suite A, Kalispell, MT 59901-3585 | 2011-06-21 |
| 1952692766 | Kalispell Regional Medical Center Inc | Clinic/Center | 75 Claremont St, #h, Kalispell, MT 59901-3531 | 2011-04-27 |
| 1912140435 | Michael Todd Rutherford | Psychiatry & Neurology | 75 Claremont St, Suite C, Kalispell, MT 59901-3585 | 2009-04-14 |
| 1275789901 | Glacier Oncology, Pllc | Clinic/Center | 75 Claremont St, Suite E, Kalispell, MT 59901-3585 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1720069875 | Kenneth J Graham | Pediatrics | 1273 Burns Way, Kalispell, MT 59901-3109 | 2005-11-07 |
| 1285020263 | Hilary Hanba | Pediatrics | 1287 Burns Way, Kalispell, MT 59901 | 2015-04-07 |
| 1649680893 | Samantha Baker Dooley | Pediatrics | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2014-04-28 |
| 1639598717 | Crystal Dawn Zomer | Pediatrics | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2014-04-16 |
| 1285052134 | Michelle Grace Merchant | Pediatrics | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2014-03-28 |
| 1639434376 | Allie Maffit | Pediatrics | 350 Heritage Way Ste 1100, Kalispell, MT 59901 | 2012-07-09 |
| 1508181454 | John Cole | Pediatrics | 1273 Burns Way, Kalispell, MT 59901-3109 | 2010-04-05 |
| 1447467899 | Cecilia Thompson | Pediatrics | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2007-05-16 |
| 1275670549 | Courtney Lyle | Pediatrics | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2007-01-30 |
| 1205982824 | Courtney L Stout Paterson | Pediatrics | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2007-01-26 |
| Find all providers in KALISPELL | ||||
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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.