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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 01037730 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100172700 | 05 |
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 |
Street Address |
2015 JACKSON ST |
City | ANDERSON |
State | IN |
Zip Code | 46016-4337 |
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 |
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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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
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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.