DR. MARK ROBERT DUFFY (NPI# 1194255513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194255513 |
| Entity Type | Individual |
| Full Name | DR. MARK ROBERT DUFFY |
| Credential | DMD |
| Practice Address |
2300 W Broad St Columbus OH 43204-3783 |
| Mailing Address |
2780 Airport Dr Ste 100 Columbus OH 43219-2289 |
| Practice Telephone | 6146452300 |
| Practice Fax Number | 6146455517 |
| Mailing Telephone | 6148591906 |
| Mailing Fax Number | 6146455517 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.025112 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235676636 | Mark Duffy | Behavioral Analyst | 200 N Vineyard Blvd, Suite 153, Honolulu, HI 96817-3950 | 2017-01-23 |
| 1235167537 | Mark T Duffy | Ophthalmology | 2253 W Mason St Ste 100, Green Bay, WI 54303-4706 | 2006-06-28 |
| Street Address |
2300 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-3783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182922 | North Community Counseling Ctrs Inc | Counselor | 2300 W Broad St, Columbus, OH 43204-3783 | 2005-08-24 |
| 1417572017 | Tiffany Swain | Family Medicine | 2300 W Broad St, Columbus, OH 43204-3783 | 2020-06-10 |
| 1114548609 | Caitlin Phillips | Social Worker | 2300 W Broad St, Columbus, OH 43204-3783 | 2020-05-06 |
| 1508408790 | Paul Devore | Nurse Practitioner | 2300 W Broad St, Columbus, OH 43204-3783 | 2019-10-09 |
| 1073174637 | Huong Thu Phan | Dentist | 2300 W Broad St, Columbus, OH 43204-3783 | 2019-06-25 |
| 1154806628 | Brandi Nicole Curfman | Social Worker | 2300 W Broad St, Columbus, OH 43204-3783 | 2018-10-01 |
| 1952893489 | Amie Butcher | Social Worker | 2300 W Broad St, Columbus, OH 43204 | 2018-05-31 |
| 1659748358 | Ashley Smith | Nurse Practitioner | 2300 W Broad St, Columbus, OH 43204-3783 | 2015-08-28 |
| 1124403746 | Corrie M. Vanamerongen | Social Worker | 2300 W Broad St, Columbus, OH 43204-3783 | 2015-07-24 |
| 1992186209 | Rachele Liette | Optometrist | 2300 W Broad St, Columbus, OH 43204-3783 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1760004592 | Stephanie Leigh Sforza | Dentist | 1511 Runaway Bay Dr Apt 1a, Columbus, OH 43204-4812 | 2020-05-14 |
| 1487293403 | Columbus Dental Corp | Dentist | 1641 N National Rd, Columbus, IN 47201-5579 | 2019-12-23 |
| 1699319509 | Justin D. Shiflett, Dds, Inc. | Dentist | 3805 N High St Ste 207, Columbus, OH 43214-3539 | 2019-11-04 |
| 1730721499 | Tanner Jameson Mitchell | Dentist | 3105 Middle Dr Ste A, Columbus, IN 47203-4472 | 2019-10-15 |
| 1588143838 | Mark Christopher Pagano | Dentist | 5478 N Hamilton Rd, Columbus, OH 43230-1320 | 2018-08-08 |
| 1336630128 | Annie Courtemanche | Dentist | 6499 E Broad St Ste 110, Columbus, OH 43213-6506 | 2018-05-29 |
| 1619468766 | Blue Ridge Community Health Services Inc | Dentist | 158 White Dr, Columbus, NC 28722-9465 | 2018-05-24 |
| Find all providers in COLUMBUS | ||||
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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.