Individual provider Active NPI

Mark J. Zivney, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bend, OR
National Provider Identifier
1356725709
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD224329 Issued in OR
Practice address
1348 NE Cushing Dr
Bend, OR 97701-3876
Phone
(541) 382-7696
Fax
(541) 389-5723
NPI assigned
Jul 15, 2015
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 13284729-1205 UT
Anatomic Pathology Physician 207ZP0101X 13284729-1205 UT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD224329 OR Primary

Addresses

Primary practice location

1348 NE Cushing Dr
Bend, OR 97701-3876

Mailing address

1348 NE Cushing Dr
Bend, OR 97701-3876
Phone (541) 382-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211003362 UT Practitioner - Pathology 2365776119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD224329ORMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Dec 1, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Dec 1, 2024 Accepting new patients
Central Oregon Pathology Consultants, PC Anatomic Pathology & Clinical Pathology PastSince Dec 7, 2025 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1356725709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 NE CUSHING DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013876",
            "telephone_number": "541-382-7696",
            "fax_number": "541-389-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 NE CUSHING DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013876",
            "telephone_number": "541-382-7696",
            "fax_number": "541-389-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVNEY",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "UT",
            "license": "13284729-1205",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "UT",
            "license": "13284729-1205",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD224329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.