MARK T KEIDEL (NPI# 1134154263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134154263 |
| Entity Type | Individual |
| Full Name | MARK T KEIDEL |
| Credential | M.D. |
| Practice Address |
2 W Fern Ave Redlands CA 92373-5916 |
| Practice Telephone | 9093354199 |
| Mailing Telephone | 9093354199 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A76937 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A769370 | 05 |
| Street Address |
2 W FERN AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962802 | Sue Allison Field | Anesthesiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2005-06-14 |
| 1114535044 | Jose Lopez | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-07-16 |
| 1275158305 | Carley Marie Anderson | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2020-06-15 |
| 1194387373 | Timothy Michael Taylor | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2019-07-08 |
| 1083180392 | Janet Cantada | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-10-15 |
| 1821579335 | Jacqueline Hae Yun Evans | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-08-22 |
| 1063907152 | Kristen Nicole Chaves | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2018-06-29 |
| 1154823177 | Angela Joan Flores | Pharmacist | 2 W Fern Ave, Redlands, CA 92373 | 2018-03-06 |
| 1619482718 | Agnes Arorong Esteva | Hospitalist | 2 W Fern Ave, Redlands, CA 92373 | 2017-12-12 |
| 1578075867 | Lisa Gilbert | Nurse Practitioner | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710340195 | Sherri English | Family Medicine | 25828 Redlands Blvd., Suite 102, Redlands, CA 92373-8450 | 2016-04-01 |
| 1386021145 | Christen Leah Cuevas | Family Medicine | 1200 California St Ste 240, Redlands, CA 92374-2948 | 2015-04-30 |
| 1366710865 | Nathan King | Family Medicine | 1600 E. Citrus Ave, Redlands, CA 92374-4802 | 2011-12-12 |
| 1568758100 | Kauai Nicole Kennedy-eto | Family Medicine | 1711 N. Orange Street, Redlands, CA 92374-2254 | 2011-06-22 |
| 1932400645 | Charles Edward Payton | Family Medicine | 10393 Enterprise Dr, Redlands, CA 92374-4525 | 2010-11-11 |
| 1467650069 | Sophia Alexandros | Family Medicine | 951 Sunset Hills Ln, Redlands, CA 92373-6964 | 2007-07-05 |
| 1588780506 | Benny Hau | Family Medicine | 1244 W Highland Ave, Redlands, CA 92373-6659 | 2007-03-21 |
| 1750467874 | David Fukuda | Family Medicine | 721 Nevada St, Suite #406, Redlands, CA 92373-8079 | 2006-10-31 |
| 1558472464 | Alexander Terrazas | Family Medicine | 1720 Sarrita Dr, Redlands, CA 92373-7222 | 2006-08-31 |
| 1679684807 | Mohammad Moazzan Hossain | Family Medicine | 627 Brookside Ave, Redlands, CA 92373-4666 | 2006-08-31 |
| Find all providers in REDLANDS | ||||
Please comment or provide details below to improve the information on MARK T KEIDEL.
| 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.