MARK RANDALL JENNINGS


Address: 2015 Jackson St, Anderson, IN 46016-4337
Phone: 7656492511

MARK RANDALL JENNINGS (NPI# 1003915539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003915539
Entity Type Individual
Full Name MARK RANDALL JENNINGS
Credential MD
Practice Address 2015 Jackson St
Anderson
IN 46016-4337
Mailing Address 8840 Commerce Park Pl Ste E
Indianapolis
IN 46268-3129
Practice Telephone 7656492511
Enumeration Date 2006-09-21
Last Update Date 2015-03-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 01037730 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100172700 05

Other Providers MARK JENNINGS

NPI Name Taxonomy Address Enumeration
1437314002 Mark Jennings Case Manager/Care Coordinator 303 Horseshoe Dr, Goldsboro, NC 27534-8715 2008-07-23
1598713166 Mark Oliver Jennings Psychiatry & Neurology 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 2006-05-05
1578538955 Mark R Jennings Surgery 3300 Mercy Health Blvd Ste 2010, Cincinnati, OH 45211-1103 2006-02-21
1356315246 Mark Jennings Neuromusculoskeletal Medicine & OMM Pediatric Neurology, 515 Ne Glen Oak #308, Peoria, IL 61603 2006-02-15
1396124988 Mark William Jennings Student in an Organized Health Care Education/Training Program 2800 Main St, Bridgeport, CT 06606-4201 2015-05-28
1336379783 Mark Byron Jennings Internal Medicine 1105 Central Expy N Ste 235, Allen, TX 75013-6135 2009-07-20
1164682688 Mark Thomas Jennings Internal Medicine 1830 E Monument St, 5th Floor, Baltimore, MD 21287-0020 2008-06-10

Office Location

Street Address 2015 JACKSON ST
City ANDERSON
State IN
Zip Code 46016-4337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679578850 St. Vincent Anderson Regional Hospital, Inc. Emergency Medicine 2015 Jackson St, Anderson, IN 46016-4337 2005-06-15
1790329621 Nikita Patel Nurse Anesthetist, Certified Registered 2015 Jackson St, Anderson, IN 46016-4337 2019-11-04
1164063962 Tiffany N Godfrey Nurse Practitioner 2015 Jackson St, Anderson, IN 46016-4337 2019-10-02
1780246819 Joel Brian Denis Nurse Anesthetist, Certified Registered 2015 Jackson St, Anderson, IN 46016-4337 2019-06-28
1609433606 Carrie Anne Rainey Dietitian, Registered 2015 Jackson St, Anderson, IN 46016-4337 2019-05-24
1982260733 Asuman Yavuzoglu-luchs Dietitian, Registered 2015 Jackson St, Anderson, IN 46016-4337 2019-05-17
1821653304 Alexandria Farrar Dietitian, Registered 2015 Jackson St, Anderson, IN 46016-4337 2019-05-09
1275028128 Alex Clayton Irwin Nurse Practitioner 2015 Jackson St, Anderson, IN 46016-4337 2018-06-23
1144717927 Jennifer Erin Scarberry Nurse Practitioner 2015 Jackson St, Anderson, IN 46016-4337 2018-04-17
1477069508 Brittney Leigh Schiller Nurse Anesthetist, Certified Registered 2015 Jackson St, Anderson, IN 46016-4337 2017-12-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639737356 Alicia Borer Optometrist Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 2019-05-29
1740681469 Melissa Dotson Counselor 2003 W 12th St, Anderson, IN 46016 2014-09-12
1811164239 Vicky Lea Lawson Technician/Technologist 1503 Rev Jt Menifee Street, Anderson, IN 46016 2008-05-14
1023130812 Robert L Loudermilk Dentist 226 West Historic Eighth Street, Anderson, IN 46016 2007-04-04
1215089297 Chiropractic Works of Indiana Inc. Chiropractor 1541 S Scatterfield Rd, Suite A, Anderson, IN 46016 2007-01-18
1790851509 Robert W Anderson Internal Medicine 2101 Jackson Street, Suite 111, Anderson, IN 46016 2006-11-27
1770668030 Madison County Community Health Centers Inc Family Medicine 1547 Ohio Avenue, Anderson, IN 46016 2006-10-26
1437178035 Teri L Schulz Pediatrics 2020 Meridian St Ste 320, Anderson, IN 46016 2006-07-18
1750331195 Steven C. Kim Urology 141 W. 22nd St., Suite 203, Anderson, IN 46016 2006-05-10
1215905773 Hazim Rimawi Internal Medicine 2020 Meridian St Ste 110, Anderson, IN 46016 2006-03-10
Find all providers in zip 46016

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093156580 Vipin Verma Internal Medicine 703 N Fant St Ste B, Anderson, SC 29621-5705 2013-07-11
1528320918 James Thompson Mcclain Internal Medicine 2000 E Greenville St Ste 5000, Anderson, SC 29621-1763 2012-06-12
1548540578 Emerald Banas Branch Internal Medicine 2000 East Greenville St., Suite 1100, Anderson, SC 29621 2011-08-22
1023345972 Dalwinderpal Singh Samra Internal Medicine 1547 Ohio Ave., Anderson, IN 46016-5088 2009-11-13
1871759100 Heather G Figurelli Internal Medicine 2101 Jackson St Ste 101, Anderson, IN 46016-4386 2008-08-06
1720242183 Ravi Kant Internal Medicine 100 Healthy Way Ste 1210, Anderson, SC 29621 2008-07-15
1821251240 David Jonathan Budhoo Internal Medicine 118 Carter Hall Dr, Anderson, SC 29621-1904 2008-07-07
1386856037 Nighat A Tahir Internal Medicine 1210a Medical Arts Blvd, Suite 200, Anderson, IN 46011-3437 2007-05-04
1356477368 Charles W. Scowcroft Internal Medicine 1530 N Fant St Ste B, Anderson, SC 29621-4700 2007-02-26
1790851509 Robert W Anderson Internal Medicine 2101 Jackson Street, Suite 111, Anderson, IN 46016 2006-11-27
Find all providers in ANDERSON

Competitor

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City ANDERSON
Zip Code 46016

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Dataset Information

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.

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