Active NPI
Mark E Helm, MD, MBA
- Pediatrics Physician
- Silverton, OR
National Provider Identifier
1811060122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD163504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500663994 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD163504 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Small Town Pediatrics LLC | Pediatrics | Current | Accepting new patients |
Locations
1331 Monmouth St
Independence, OR 97351
607 Welch St
Silverton, OR 97381
Phone (503) 373-7920
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Silverton, OR
- NPI 1134799489
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.