NPIMap

Individual provider Active NPI

Mark Edward Silver, MD

  • Ambulatory Family Planning Facility
  • Brookings, OR
National Provider Identifier
1639178114
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
44 Issued in OR
Practice address
446 Oak St
Brookings, OR 97415-9612
Phone
(541) 469-7401
Fax
(541) 469-7083
NPI assigned
Jul 18, 2005
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 44 OR Primary
Family Medicine Physician 207Q00000X MD15808 OR

Addresses

Primary practice location

446 Oak St
Brookings, OR 97415-9612

Mailing address

PO Box 5870
446 Oak St
Brookings, OR 97415-0234
Phone (541) 469-7401

Other identifiers 1

IdentifierTypeStateIssuer
059709MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000546 OR Practitioner - Family Practice 2860464583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

446 Oak St
Brookings, OR 97415-9612
Phone (541) 469-7401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions109
Removal of nail tissue12
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15808ORMDFamily Medicine Physician
44ORMDAmbulatory Family Planning Facility

Interoperability endpoints

  • Direct secure messaging: mark.silver.bhmcoak@jhie.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oak Street Health Care CenterBrookings, OR, CCN 383839 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Director		 Dec 18, 2009
Dec 18, 2009

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1639178114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5870",
            "address_2": "446 OAK ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150234",
            "telephone_number": "541-469-7401",
            "fax_number": "541-469-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 OAK ST",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159612",
            "telephone_number": "541-469-7401",
            "fax_number": "541-469-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "OR",
            "license": "44",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD15808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059709",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

Verify at the official NPI Registry.