Marc Munroe Iseri, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

10382 Issued in OR

Practice address

1077 SW 3Rd Ave
Ontario, OR 97914

Phone

(541) 889-7205

Fax

(541) 889-9204

NPI assigned

May 16, 2006

Reactivated

Aug 11, 2008

Last updated

Sep 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marc Iseri MD PC

  dba Iseri & Associates Urology

  • Specialist
  • Ontario, OR
  • NPI 1740393289
  Authorized official Same address or phone
• Paul C Gering, Jr., MD

  • Family Medicine Physician
  • Ontario, OR
  • NPI 1962698035
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1417909599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-7205",
            "fax_number": "541-889-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-7205",
            "fax_number": "541-889-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISERI",
        "first_name": "MARC",
        "middle_name": "MUNROE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-09-11",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "10382",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "10382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Ann Hughes
• Britt Humphrey, MS, LPC
• Judy L Hymas
• Maureen Ireland, QMHA
• Iris Psychiatry
• Sylvia D Ixta, CHW
• J C Pitts Enterprises Inc (Ontario Surgery Center)
• Siri Jackman, NMNP-PP
• Jeffrey Jackson
• Kreyton Dirk Jackson, O.D.

• Specialist in Ontario, OR
• Providers in Ontario, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.