MARK BLAINE MANN (NPI# 1184649584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184649584 |
| Entity Type | Individual |
| Full Name | MARK BLAINE MANN |
| Credential | M.D. |
| Practice Address |
90 N 30th St Suite 4 Clinton OK 73601-3101 |
| Practice Telephone | 5803230232 |
| Practice Fax Number | 5803311410 |
| Mailing Telephone | 5803230232 |
| Mailing Fax Number | 5803311410 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20775 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS BLUE SHIELD | 4436060740001 | 01 |
| OK | 100107150C | 05 | |
| OK | 100107150D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942539929 | Mark J Mann | Counselor | 917 Tiara St, Eugene, OR 97405-6309 | 2009-12-21 |
| 1346673753 | Mark Christopher Mann | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2013-08-21 |
| 1386921914 | Mark A. Mann | Pharmacist | 3251 3rd Ave N, St Petersburg, FL 33713-8506 | 2011-11-10 |
| 1225291123 | Mark Jonathan Mann | Urology | 833 Chestnut St, Suite 703, Philadelphia, PA 19107-4414 | 2008-07-10 |
| 1205997434 | Mark Jeffrey Mann | Dentist | 6231 N Canton Center Rd, Suite 103, Canton, MI 48187-2694 | 2006-12-12 |
| 1245328830 | Mark Anthony Mann Sr. | Psychologist | 10 North Greene St, Trauma Recovery Program, Baltimore, MD 21201-1524 | 2006-10-10 |
| 1932152170 | Mark Douglas Mann | Physician Assistant | 4320 Wornall Rd, Suite 50-ii, Kansas City, MO 64111-5941 | 2006-05-18 |
| Street Address |
90 N 30TH ST SUITE 4 |
| City | CLINTON |
| State | OK |
| Zip Code | 73601-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942280987 | Victor L Fey | Family Medicine | 90 N 30th St, Suite 1, Clinton, OK 73601-3100 | 2006-01-17 |
| 1073869772 | Clinton Hmpn, LLC | Obstetrics & Gynecology | 90 N 30th St, Suite 6, Clinton, OK 73601-3101 | 2012-07-31 |
| 1336495035 | Clinton Hmpn, LLC | Family Medicine | 90 N 30th St, Suite 7, Clinton, OK 73601-3101 | 2012-07-31 |
| 1417228511 | Clinton Hmpn, LLC | Family Medicine | 90 N 30th St, Suite 6, Clinton, OK 73601-3101 | 2012-01-20 |
| 1942331061 | Mark Mann, M.d., P.C. | Family Medicine | 90 N 30th St, Suite 4, Clinton, OK 73601-3101 | 2007-03-08 |
| 1932237633 | Vic Fey Md Inc A Professional Corporation | Family Medicine | 90 N 30th St, #1, Clinton, OK 73601-3101 | 2007-03-02 |
| 1629093943 | Michael Clarke Hensley | Obstetrics & Gynecology | 90 N 30th St, Suite 6, Clinton, OK 73601-3101 | 2006-07-13 |
| 1902868821 | Thomas Eugene Cashero | Emergency Medicine | 90 N 30th St, Suite 3, Clinton, OK 73601-3100 | 2006-04-05 |
| 1134197114 | Carlos A Troncoso | Surgery | 90 N 30th St, Suite 6, Clinton, OK 73601-3101 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| Find all providers in zip 73601 | ||||
| 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 |
|---|---|---|---|---|
| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on MARK BLAINE MANN.
| 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.