Organization Active NPI

Marc Iseri MD PC

  • Specialist
  • Ontario, OR
National Provider Identifier
1740393289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10382 Issued in OR
Legal business name
MARC ISERI MD PC
Practice address
1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone
(541) 889-7205
Fax
(541) 889-9204
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marc Munroe Iseri, MD
Title
Owner
Phone
(541) 889-7205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10382 OR Primary

Addresses

Primary practice location

1077 SW 3Rd Ave
Ontario, OR 97914-2125

Mailing address

1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone (541) 889-7205

Other identifiers 2

IdentifierTypeStateIssuer
1417909599OtherNPI, DR. MARC ISERI
093682MedicaidOR

Other names 1

  • Iseri & Associates Urology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740393289",
    "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": "979142125",
            "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": "979142125",
            "telephone_number": "541-889-7205",
            "fax_number": "541-889-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC ISERI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISERI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "MUNROE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-889-7205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "10382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, DR. MARC ISERI",
            "identifier": "1417909599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093682",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iseri & Associates Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.