MARK T EATON (NPI# 1124079256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124079256 |
| Entity Type | Individual |
| Full Name | MARK T EATON |
| Credential | DPM |
| Practice Address |
1738 Metromedical Dr Fayetteville NC 28304-3861 |
| Practice Telephone | 9104844191 |
| Practice Fax Number | 9104845546 |
| Mailing Telephone | 9104844191 |
| Mailing Fax Number | 9104845546 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
423 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 126JK | 01 |
| NC | 89126JK | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194041277 | Mark William Eaton | Family Medicine | 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 | 2010-04-14 |
| 1629070495 | Mark E Eaton | Dermatology | 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 | 2005-08-11 |
| 1043601305 | Mark E Eaton | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2015-02-09 |
| 1144301300 | Mark Adalbert Eaton | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2006-10-17 |
| 1952353575 | Mark Henry Eaton | Internal Medicine | 500 University Ave., Sacramento, CA 95825-6524 | 2006-05-16 |
| Street Address |
1738 METROMEDICAL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780634535 | Sandra R Sheehan | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-11 |
| 1104327709 | Cumberland County Hospital System Inc | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304 | 2018-02-28 |
| 1376906735 | Hughey Colton Carter | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304 | 2016-04-03 |
| 1972827988 | Roberto Bermudez | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2010-03-19 |
| 1437313194 | Denise Crystal Thomas | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2008-07-11 |
| 1518147339 | Shelli L. Brewington | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2007-11-08 |
| 1316999527 | Cape Fear Podiatry Associates, Pa | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-16 |
| 1063463982 | Terrill F Brown | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-15 |
| 1225088081 | Daniel E Laut | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609288984 | Aaron Teufel | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 | 2014-05-21 |
| 1073852786 | Ankle and Foot Clinic of Georgia, Inc. | Podiatrist | 730 Lanier Ave W, Fayetteville, GA 30214-1509 | 2013-02-01 |
| 1841597499 | American Foot & Leg Specialists, P.C. | Podiatrist | 122 N Park Dr, Fayetteville, GA 30214 | 2011-02-17 |
| 1821132424 | Fayetteville Foot and Ankle Center | Podiatrist | 503 Owen Dr, Fayetteville, NC 28304-3433 | 2007-02-16 |
| 1861496754 | Gregory Alvarez | Podiatrist | 265 N Jeff Davis Dr, Fayetteville, GA 30214-1625 | 2005-06-08 |
| 1619533692 | Arkansas Foot & Ankle Specialists | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703-5257 | 2019-05-15 |
| 1376906735 | Hughey Colton Carter | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304 | 2016-04-03 |
| 1710256003 | Ozark Foot & Ankle Plc | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2011-12-15 |
| 1508155037 | Easy Walk Foot Clinic LLC | Podiatrist | 101 Beckett Ln, Suite 104, Fayetteville, GA 30214-7155 | 2011-04-05 |
| 1972827988 | Roberto Bermudez | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2010-03-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MARK T EATON.
| 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.