Mark Valliere, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24547 Issued in IA

Practice address

947 14TH Ave. SE
Community Health Free Clinic
Cedar Rapids, IA 52401

Phone

(319) 363-0416

Fax

(319) 363-5569

NPI assigned

Nov 15, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1992135693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 10TH ST. SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524039989",
            "telephone_number": "319-398-6440",
            "fax_number": "319-398-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 14TH AVE. SE",
            "address_2": "COMMUNITY HEALTH FREE CLINIC",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52401",
            "telephone_number": "319-363-0416",
            "fax_number": "319-363-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIERE",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "24547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Richard Utley, MD
• Lori Vacek, PHARMD
• Satya Vijay K Vaddadi, D.D.S.
• Patricia Vahanian
• George D Valentine, DC PHC
• Patricia Carolyn McLain Van Alstyne, PH.D.
• Tiffany Van Dee
• John R Van Heukelom, DDS MS
• Tessa Corin Van Maanen
• Jacob Van Oort, PHARMD

• Internal Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.