MARK T BUCHHOLZ MD
NPI 1649251422
Pediatrics - Pediatric Critical Care Medicine in Portland, OR

Q: What is Mark Buchholz's NPI number?

The NPI number for Mark Buchholz is 1649251422. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Mark Buchholz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mark Buchholz was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2005PECOS Enrolled

2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 283-5220(503) 283-9527 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark T Buchholz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK T BUCHHOLZ MD (NPI 1649251422) is an individual pediatric critical care medicine provider in Portland, Oregon, licensed in Oregon (MD25508) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649251422

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMARK T BUCHHOLZCredential: MD

Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623

Mailing AddressPo Box 821350Vancouver, WA 98682-0030 · (503) 283-5220 · Fax (503) 283-9527

Phone(503) 283-5220

Fax(503) 283-9527

Sole ProprietorNo

Enumeration DateNovember 9, 2005

Last NPPES UpdateDecember 16, 2022

NPPES CertifiedDecember 16, 2022

✔ NPI 1649251422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in OR · MD25508

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MD25508 (OR)

2801 N GANTENBEIN AVE, Portland, OR 97227

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark T Buchholz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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