MARK JAMES KNUDSON (NPI# 1205392610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205392610 |
| Entity Type | Individual |
| Full Name | MARK JAMES KNUDSON |
| Practice Address |
3264 S 97th St Milwaukee WI 53227-4206 |
| Mailing Address |
Po Box 270246 Milwaukee WI 53227-7206 |
| Practice Telephone | 4148994554 |
| Mailing Telephone | 4144164447 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FENCE INSTALLATION | 0198162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073597035 | Mark Paul Knudson | Family Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-02 |
| Street Address |
3264 S 97TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788698 | Jasmine C Gray | Contractor | 1300 N Vel R Phillips Ave Apt 301, Milwaukee, WI 53212-4008 | 2020-07-27 |
| 1447616321 | Netricia Smith | Contractor | 3500 N Sherman Blvd, Milwaukee, WI 53216-3463 | 2016-01-08 |
| 1447625348 | Kimberly Rux | Contractor | 3246 N Achilles St, Milwaukee, WI 53212-2038 | 2015-12-03 |
| 1225402910 | Catherine Okoro | Contractor | 4619 N 48th St, Milwaukee, WI 53218-5120 | 2015-11-19 |
| 1528301983 | Ms. Clean Cleaning Service L.L.C. | Contractor | 2431 W Galena St, Milwaukee, WI 53205-1429 | 2013-04-03 |
| 1649519794 | Betty Jean Daniels | Contractor | 2514 N 36th St, Milwaukee, WI 53210-3041 | 2013-02-09 |
| 1144574757 | Bonnie Gray | Contractor | 4034 N 18th St, 3535 N 50th Street, Milwaukee, WI 53209-6802 | 2012-11-04 |
| 1356612501 | Demetrice Neshawn Ringo | Contractor | 5302 N 63rd St, Milwaukee, WI 53218-3115 | 2012-01-19 |
| 1326349481 | Travis L Jones | Contractor | 2053 W Hopkins St, Milwaukee, WI 53206-1743 | 2010-11-05 |
| 1023328317 | Donna Rena Mcculler | Contractor | 1225 W Lapham Blvd, Milwaukee, WI 53204-3336 | 2010-10-20 |
| Find all providers in MILWAUKEE | ||||
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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.