Mark R Carson (NPI# 1780604454, PAC ID# 0446333835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1780604454 |
| PAC ID by PECOS | 0446333835 |
| Professional Enrollment ID | I20101007001035 |
| Full Name | Mark R Carson |
| Organization Legal Name | OREGON UROLOGY INSTITUTE PC |
| Address |
2400 Hartman Ln Springfield OR 97477-1118 |
| Phone Number | 5413343350 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6608766399 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380102 | SACRED HEART MEDICAL CENTER - RIVERBEND |
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| 381301 | PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2400 Hartman Ln, Springfield, OR 97477-1118 | 5413343350 | OREGON UROLOGY INSTITUTE PC |
| Organization Legal Name | OREGON UROLOGY INSTITUTE PC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey B Woolsey | Urology | Oregon Urology Institute PC | 341 Medical Loop, Suite 100, Roseburg, OR 97470 |
| Angela E Watson | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| David N Esrig | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Victoria Ann Waltz | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Annabel H Chen | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Jessica Catherine Lloyd | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| David S Dimarco | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Christopher C Kyle | Urology | Oregon Urology Institute PC | 341 Medical Loop, Suite 100, Roseburg, OR 97470 |
| Richard S Nile | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Dawn M Bodell | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Street Address |
2400 HARTMAN LN |
| City | SPRINGFIELD |
| State | OR |
| Zip | 97477-1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela E Watson | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Victoria Ann Waltz | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Annabel H Chen | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Jessica Catherine Lloyd | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| David S Dimarco | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Richard S Nile | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Dawn M Bodell | Urology | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Kevin Max Brandt | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Mark A Wells | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Cameron Erin Derbyshire | Physician Assistant | Oregon Urology Institute PC | 2400 Hartman Ln, Springfield, OR 97477-1118 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Trezona | Surgical Oncology | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Sydney Katherine Johnstone | Physician Assistant | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Jason R Oilar | Optometry | 3783 International Ct, Suite 160, Springfield, OR 97477-1025 | |
| Deven L Smith | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lauren A Hammock | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Denis M Mccarthy | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| John Paul Ditomasso | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| David Scott Meyers | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lamont A Wettstein | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Joe Robert Mcfarlane | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Find all physicians in zip 97477 | |||
| City | SPRINGFIELD |
| Zip Code | 97477 |
| Specialty | UROLOGY |
| City + Specialty | SPRINGFIELD + UROLOGY |
Please comment or provide details below to improve the information on Mark R Carson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.