MARK WENBORNE (NPI# 1093346132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093346132 |
| Entity Type | Individual |
| Full Name | MARK WENBORNE |
| Practice Address |
3904 Broughton Schertz TX 78154-2966 |
| Practice Telephone | 2103699009 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | FPF02000051 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3904 BROUGHTON |
| City | SCHERTZ |
| State | TX |
| Zip Code | 78154-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229256 | Deann Fierro | Counselor | 3728 Hull Sreet, Schertz, TX 78154 | 2020-09-14 |
| 1467097949 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1787 Fm 3009, Schertz, TX 78154 | 2019-11-08 |
| 1881237113 | Erica Lizet Scherzinger | Nurse Practitioner | 1205 N Sh 1604 Loop W Frontage Rd, San Antonio, TX 78154 | 2019-10-18 |
| 1831740752 | La'wanda Myers | Social Worker | 19315 Farm To Market Road 2252, Garden Ridge, TX 78154 | 2019-09-23 |
| 1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
| 1043874308 | Jessica Gail Rourke | Occupational Therapist | 5700 Schertz Parkway Ste 100, Schertz, TX 78154 | 2019-04-23 |
| 1750871729 | Jenna Kamaile Nurial Dacalio | Behavioral Analyst | 15620 York Lane, Selma, TX 78154 | 2018-05-15 |
| 1235630070 | Ginger Odom | Speech-Language Pathologist | 1600 Shady Brook, Schertz, TX 78154 | 2018-02-27 |
| 1295235588 | Timothy Marcus Egbuka | Pharmacist | 17115 Interstate 35 N Ste 123, Schertz, TX 78154 | 2018-02-14 |
| 1013423110 | Polite Transit LLC | Non-emergency Medical Transport (VAN) | 16222 Horse Brg, Selma, TX 78154 | 2017-12-27 |
| Find all providers in zip 78154 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1326695115 | Timothy Ruiz | Perfusionist | 520 E Bluebird Ave, Mcallen, TX 78504-2236 | 2019-08-26 |
| 1356865109 | Dauvon Lamar Mccormick | Perfusionist | 14603 Huebner Rd. Blg 28, Ste 28101, San Antonio, TX 78203 | 2017-08-02 |
| 1982144036 | Ditta Solutions LLC | Perfusionist | 4054 Mckinney Ave Ste 202, Dallas, TX 75204-2058 | 2017-03-07 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1386064202 | Sandra Powell Melchor | Perfusionist | 8518 Shooting Quail, San Antonio, TX 78250-4613 | 2014-04-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1053749044 | Randy Vazquez | Perfusionist | 3615 19th St # 151, Lubbock, TX 79410-1203 | 2013-10-29 |
| 1891065793 | Haven Allan Young | Perfusionist | 1331 S Flores St, 308, San Antonio, TX 78204-1655 | 2012-01-09 |
| 1154601821 | Jennifer Meyer | Perfusionist | 7109 King Ranch Rd, North Richland Hills, TX 76182-9300 | 2011-08-25 |
| Find all providers with the same taxonomy | ||||
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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.