Organization Active NPI

Mark T. Gabr, M.D., P.C.

Doing business as Willamette Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Salem, OR
National Provider Identifier
1437466612
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MARK T. GABR, M.D., P.C.
Doing business as
Willamette Sleep Center
Practice address
180 Ramsgate SQ. SE
Salem, OR 97302-5867
Phone
(503) 485-0672
Fax
(503) 485-0673
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mrs. Cheryl Miller
Title
Office Manager
Phone
(503) 485-0672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X OR Primary

Addresses

Primary practice location

180 Ramsgate SQ. SE
Salem, OR 97302-5867

Mailing address

180 Ramsgate SQ. SE
Salem, OR 97302-5867
Phone (503) 485-0672

Other identifiers 1

IdentifierTypeStateIssuer
127027MedicaidOR

Other names 1

  • Willamette Sleep Center Doing business as

National Provider Directory

National Provider Directory

Locations

180 Ramsgate Sq S
Salem, OR 97302
Phone (503) 436-7414

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1437466612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ. SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025867",
            "telephone_number": "503-485-0672",
            "fax_number": "503-485-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ. SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025867",
            "telephone_number": "503-485-0672",
            "fax_number": "503-485-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T. GABR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-485-0672",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127027",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willamette Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.