Individual provider Active NPI

Mark E Helm, MD, MBA

  • Pediatrics Physician
  • Silverton, OR
National Provider Identifier
1811060122
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD163504 Issued in OR
Practice address
607 Welch St
Silverton, OR 97381-1946
Phone
(503) 400-0454
Fax
(503) 334-2268
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD163504 OR Primary

Addresses

Primary practice location

607 Welch St
Silverton, OR 97381-1946

Mailing address

891 23Rd St NE
Salem, OR 97301-1793
Phone (503) 364-2181

Other identifiers 1

IdentifierTypeStateIssuer
500663994MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD163504ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Small Town Pediatrics LLC Pediatrics CurrentSince Aug 1, 2021 Accepting new patients

Locations

1331 Monmouth St
Independence, OR 97351

607 Welch St
Silverton, OR 97381
Phone (503) 373-7920

Interoperability endpoints

  • Direct secure messaging: mhelm@stp.pcc-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1811060122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011793",
            "telephone_number": "503-364-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WELCH ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811946",
            "telephone_number": "503-400-0454",
            "fax_number": "503-334-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELM",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD163504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500663994",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.