MARK B APPLEGATE (NPI# 1083075808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083075808 |
| Entity Type | Individual |
| Full Name | MARK B APPLEGATE |
| Credential | CDCA |
| Practice Address |
2115 West Park Drive Lorain OH 44053 |
| Practice Telephone | 4409894987 |
| Practice Fax Number | 4402824779 |
| Mailing Telephone | 4409894987 |
| Mailing Fax Number | 4402824779 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
130287 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | 130287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915460 | Mark Applegate | Student in an Organized Health Care Education/Training Program | 4000 Johnson Rd, Steubenville, OH 43952-2364 | 2018-03-12 |
| 1487722955 | Mark Richard Applegate | Anesthesiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-12-01 |
| Street Address |
2115 WEST PARK DRIVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528429123 | Timothy E Smith | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-10 |
| 1447611033 | Charles Mead | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-10 |
| 1952762619 | Martin C Halloran | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-09 |
| 1518328285 | Jacob H Kestler | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-09 |
| 1003277765 | Sabrina Jones | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-09 |
| 1255792073 | Carol E Greentree | Registered Nurse | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1114313590 | Adefunke Adedipe | Family Medicine | 3600 Kolbe Rd Ste 227, Lorain, OH 44053 | 2015-04-12 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411051 | Shatela R. Evans | Counselor | 3002 Brookview Dr, Lorain, OH 44053-1427 | 2017-07-31 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1831625391 | John Corry | Counselor | 4520 Oberlin Ave Ste 2, Lorain, OH 44053-3173 | 2017-05-03 |
| 1821470881 | Eva Lozano | Counselor | 2318 E 29th St, Lorain, OH 44055-2008 | 2015-06-25 |
| 1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
| 1730794298 | Jimmy Jay Christian | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-09-11 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1467077305 | Jonetha Ali | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-06-16 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| 1962032433 | Nathan A Boggs | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-23 |
| Find all providers in LORAIN | ||||
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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.