Mark P Vanderburgh (NPI# 1497796866, PAC ID# 1456394949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497796866 |
| PAC ID by PECOS | 1456394949 |
| Professional Enrollment ID | I20100106000729 |
| Full Name | Mark P Vanderburgh |
| Organization Legal Name | SALEM CLINIC, PC |
| Address |
2531 Boone Rd Se Salem OR 97306-9675 |
| Phone Number | 5033992424 |
| Gender | M |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517954514 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2531 Boone Rd Se, Salem, OR 97306-9675 | 5033992424 | SALEM CLINIC, PC |
| Organization Legal Name | SALEM CLINIC, PC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristy L Thomas | Nurse Practitioner | Salem Clinic, PC | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 |
| Esther E Brown | Nurse Practitioner | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Johan Lg Kohler | Family Medicine | Salem Clinic, PC | 5900 Inland Shores Way N, Suite 100, Keizer, OR 97303-3883 |
| Jiyoun Kim | General Surgery | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Nicole L Read | Nurse Practitioner | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Patricia E Peterson | Obstetrics/gynecology | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Robert J Harder | Obstetrics/gynecology | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Gerald E Williams | Family Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Kathleen M Harder | Internal Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Mario J Diaz | Physician Assistant | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Street Address |
2531 BOONE RD SE |
| City | SALEM |
| State | OR |
| Zip | 97306-9675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marilyn Halder | Family Medicine | Salem Clinic, PC | 2531 Boone Rd Se, Salem, OR 97306-9675 |
| Kendall E Graven | Family Medicine | Salem Clinic, PC | 2531 Boone Rd Se, Salem, OR 97306-9675 |
| Christian A Devaux | Internal Medicine | Salem Clinic, PC | 2531 Boone Rd Se, Salem, OR 97306-9675 |
| Moti L Vishwakarma | Family Medicine | Salem Clinic, PC | 2531 Boone Rd Se, Salem, OR 97306-9675 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Foster | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Christina D Alba | Physical Therapy | 6250 Commercial St Sw, Salem, OR 97306-1333 | |
| Leanna Stracco | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Jessica O'hara Allen | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Kylee D Alexander | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Cindy S Williams | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Brenda J Lamb | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Nolan W Kellow | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Suzanne M Trebnick | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Jennifer Herzwurm | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 6250 Commercial St Se, Salem, OR 97306-1333 |
| Find all physicians in zip 97306 | |||
| City | SALEM |
| Zip Code | 97306 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SALEM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark P Vanderburgh.
| 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.