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MARK THIBERT NPI 1225104235


NPI Information

NPI: 1225104235
Provider Name: MARK THIBERT
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
929 SW SIMPSON AVE
SUITE 300
BEND, OR
ZIP 97702
Phone: (541) 389-7741
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Mark Thibert is a family medicine in Bend, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark Thibert NPI is 1225104235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

929 SW SIMPSON AVE
SUITE 300
BEND, OR
ZIP 97702-599
Phone: (541) 389-7741
Fax: (541) 278-8376

The enumeration date for this NPI number is 11/28/2006 and was last updated on 11/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5190415-1205UTAHNo
2207Q00000XFamily MedicineMD00048052WASHINGTONNo
3207Q00000XFamily MedicineMD169232OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G8878073MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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