MR. MARK DUANE ASHBAKER (NPI# 1104133438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104133438 |
| Entity Type | Individual |
| Full Name | MR. MARK DUANE ASHBAKER |
| Practice Address |
126 Missouri Avenue Ft Leonard Wood MO 65473 |
| Mailing Address |
28665 Highway Ab Richland MO 65556-7463 |
| Practice Telephone | 5735960048 |
| Mailing Telephone | 7575250501 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
126 MISSOURI AVENUE |
| City | FT LEONARD WOOD |
| State | MO |
| Zip Code | 65473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083922595 | Cynthia Thomas Plank | Registered Nurse | 126 Missouri Avenue, Ft Leonard Wood, MO 65473-8952 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271704 | Rebecca Sue Hafner | Technician/Technologist | 10719 Buckeye Rd # 20, Festus, MO 63028-2960 | 2020-10-01 |
| 1558971499 | Brittney Dawn Barrett | Technician/Technologist | 1631 Polk St, Chillicothe, MO 64601-1837 | 2020-08-05 |
| 1487288734 | Susan L Kotar | Technician/Technologist | 327 Quails Hill Ct, Ellisville, MO 63011-2037 | 2020-02-26 |
| 1992269104 | Shawn Donnika Sotofalcon | Technician/Technologist | 11921 Cato Dr, Florissant, MO 63033-6903 | 2019-01-22 |
| 1073111399 | Valerie A Hill | Technician/Technologist | 7211 Nw 83rd St Ste 130, Kansas City, MO 64152-6036 | 2020-10-09 |
| 1275155533 | Kevin Painter | Technician/Technologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-05-10 |
| 1891334694 | Gena L Magee | Technician/Technologist | 1150 Graham Rd Ste 101, Florissant, MO 63031-8077 | 2019-12-27 |
| 1104465061 | Roseann T Biason | Technician/Technologist | 1430 Olive St Ste 500, Saint Louis, MO 63103-2377 | 2019-12-24 |
| 1295394443 | Talina Dearing | Technician/Technologist | 227 Main St, Festus, MO 63028-1952 | 2019-06-11 |
| 1174080345 | Hannah Callahan | Technician/Technologist | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | FT LEONARD WOOD |
| Zip Code | 65473 |
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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.