Mark Frederick Deatherage
GRANTS PASS SURGICAL ASSOCIATES, P.C.


Address: 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094
Phone: 5414745533

Mark Frederick Deatherage (NPI# 1841293156, PAC ID# 8123041324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.

Physician Overview

Nation Provider ID (NPI) 1841293156
PAC ID by PECOS 8123041324
Professional Enrollment ID I20101119000489
Full Name Mark Frederick Deatherage
Organization Legal Name GRANTS PASS SURGICAL ASSOCIATES, P.C.
Address 1600 Nw 6th St
Suite N
Grants Pass
OR 97526-1094
Phone Number 5414745533
Gender M
Medical School OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Primary Specialty VASCULAR SURGERY
Group Practice PAC ID 0143217315
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380002 ASANTE THREE RIVERS MEDICAL CENTER

Other Locations

Address Phone Organization
1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094 5414745533 GRANTS PASS SURGICAL ASSOCIATES, P.C.

Organization Information

Organization Legal Name GRANTS PASS SURGICAL ASSOCIATES, P.C.
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Melissa M Greive General Surgery Grants Pass Surgical Associates, P.C. 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094
David C Oehling General Surgery Grants Pass Surgical Associates, P.C. 1600 Nw 6th St N, Grants Pass, OR 97526-1094
Mark A Jones Vascular Surgery Grants Pass Surgical Associates, P.C. 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094

Office Location

Street Address 1600 NW 6TH ST
SUITE N
City GRANTS PASS
State OR
Zip 97526-1094

Physicians in the same location

Name Specialty Organization Address
Melissa M Greive General Surgery Grants Pass Surgical Associates, P.C. 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094
Darlena Pike Nurse Practitioner Optimal Health of Southern Oregon, LLC 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094
Wendell C Heidinger Family Medicine Optimal Health of Southern Oregon, LLC 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094
Mark A Jones Vascular Surgery Grants Pass Surgical Associates, P.C. 1600 Nw 6th St, Suite N, Grants Pass, OR 97526-1094
Jeremy Scott Cathey Nurse Practitioner Optimal Health of Southern Oregon, LLC 1600 Nw 6th St, South Suite, Grants Pass, OR 97526-1094

Physicians in the same zip code

Name Specialty Organization Address
Keith R Anderson Certified Registered Nurse Anesthetist (crna) Rogue Anesthesia LLC 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041
Matthew A Fagert Certified Registered Nurse Anesthetist (crna) Rogue Anesthesia LLC 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041
Keith A Jensen Certified Registered Nurse Anesthetist (crna) Rogue Anesthesia LLC 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041
Joseph Fowler Certified Registered Nurse Anesthetist (crna) Rogue Anesthesia LLC 1601 Nw Hawthorne Ave, Grants Pass, OR 97526-1041
Tori Lynn Rumrey Nurse Practitioner 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049
Robert M Gentry Family Practice Rumrey Family Practice, LLC 1585 Nw Washington Blvd, Grants Pass, OR 97526-1049
Dan Phillip Gleffe Family Medicine 1587 Nw Washington Blvd, Grants Pass, OR 97526-1085
David C Oehling General Surgery Grants Pass Surgical Associates, P.C. 1600 Nw 6th St N, Grants Pass, OR 97526-1094
Angela M Dedionisio Optometry Eye Care Group of Southern Oregon PC 1022 Nw 6th St, Grants Pass, OR 97526-1114
Scott M Walters Optometry Eye Care Group of Southern Oregon PC 1022 Nw 6th St, Grants Pass, OR 97526-1114
Find all physicians in zip 97526

Competitor

Search similar physicians

City GRANTS PASS
Zip Code 97526
Specialty VASCULAR SURGERY
City + Specialty GRANTS PASS + VASCULAR SURGERY

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Dataset Information

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.

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