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Deactivated NPI 1417909599 Deactivated / Inactive NPI Male Practitioner

Dr. Marc Munroe Iseri , MD

Specialist • Ontario, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marc Iseri has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2006
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2006 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. Marc Iseri, MD was a registered Specialist practicing in Ontario, OR. Throughout an active medical career spanning 1 years, Dr. Iseri provided care at the practice location at 1077 SW 3RD AVE until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

1077 Sw 3rd Ave

Ontario, OR 97914

Telephone 5418897205
Fax 5418899204
Associated Practice Facility / Clinic
🏢 Marc Iseri Md Pc Facility NPI 1740393289

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ontario, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Ontario, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 10382

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Urology

NUCC Taxonomy Code: 208800000X

State License OR 10382

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Paul Gering , MD

Family Medicine

NPI 1235198995

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location September 11, 2012

Registered at 1077 SW 3RD AVE, ONTARIO, OR 97914 (Tel: 5418897205)

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Updated Business Mailing Address September 11, 2012

Registered at 1077 SW 3RD AVE, ONTARIO, OR 97914 (Tel: 5418897205)

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Provider Name / Credentials Updated September 11, 2012

Recorded as MARC ISERI, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Specialist (License #10382 in OR)

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NPI Profile Reactivated August 11, 2008

Record officially reactivated for active practice on August 11, 2008

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NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

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Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417909599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: September 11, 2012
Deactivation Date: July 17, 2007
Sole Proprietor: Yes

Mailing Address

1077 Sw 3rd Ave

Ontario, OR 97914

Phone: 5418897205

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.