MARK A ETSCHEIDT (NPI# 1003839010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003839010 |
| Entity Type | Individual |
| Full Name | MARK A ETSCHEIDT |
| Credential | PHD |
| Practice Address |
740 S Limestone Lexington KY 40536-0001 |
| Mailing Address |
2333 Alumni Park Plz Suite 200 Lexington KY 40517-4012 |
| Practice Telephone | 8593235956 |
| Mailing Telephone | 8592577910 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
783 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 89007835 | 05 |
| Street Address |
740 S LIMESTONE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758268 | Theodore Wright | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 740 S Limestone, A301, Lexington, KY 40536-0284 | 2005-11-28 |
| 1194324228 | Daniel Drake | Pharmacist | 740 S Limestone, Lexington, KY 40536-0001 | 2020-10-20 |
| 1073131306 | University of Kentucky | Durable Medical Equipment & Medical Supplies | 740 S Limestone, Rm K-126, Lexington, KY 40356-2411 | 2020-07-13 |
| 1619599362 | Ian Andres Boggero | Psychologist | 740 S Limestone, Lexington, KY 40536-7001 | 2020-05-15 |
| 1225668874 | Stephanie Ann Skinner | Nurse Practitioner | 740 S Limestone, Lexington, KY 40536-0001 | 2020-01-23 |
| 1831734953 | Quoc Tran | Pharmacist | 740 S Limestone, Lexington, KY 40536-0001 | 2019-11-13 |
| 1205479219 | Sarah Rachel Blevins | Pharmacist | 740 S Limestone, Lexington, KY 40536-0001 | 2019-10-22 |
| 1588218986 | Mary Benson Broadbent | Nurse Practitioner | 740 S Limestone, Lexington, KY 40536-0001 | 2019-07-25 |
| 1467011197 | Miriam Bunch | Genetic Counselor, MS | 740 S Limestone, Lexington, KY 40506-0001 | 2019-06-06 |
| 1568922094 | Natalia Klimova | Student in an Organized Health Care Education/Training Program | 740 S Limestone, Lexington, KY 40536-0001 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1740765569 | Marlene Major LLC | Psychologist | 76 Bedford St Ste 2, Lexington, MA 02420-4640 | 2018-09-27 |
| 1447740774 | Isabel Teresa Szabo | Psychologist | 28 Cottage St, Lexington, MA 02420-2202 | 2018-05-11 |
| 1336638246 | Betty G. Doo I | Psychologist | 26 Cary Ave, Lexington, MA 02421-7710 | 2018-05-07 |
| 1639675200 | Amy Frazier | Psychologist | 120 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1827 | 2018-04-03 |
| 1629590443 | Jeffrey Phillip Winer | Psychologist | 57 Bedford St Ste 230, Lexington, MA 02420 | 2017-07-13 |
| 1184172298 | Meghan L Marsac | Psychologist | 800 Rose St # Ha398, Lexington, KY 40536-7001 | 2016-09-18 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.