MARK JOSEPH YACYK (NPI# 1245224401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245224401 |
| Entity Type | Individual |
| Full Name | MARK JOSEPH YACYK |
| Credential | D.O. |
| Practice Address |
11110 Medical Campus Rd Suite 205 Hagerstown MD 21742-6700 |
| Practice Telephone | 3016654950 |
| Practice Fax Number | 3016654956 |
| Mailing Telephone | 3016654950 |
| Mailing Fax Number | 3016654956 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2010-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
H0046108 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 282871500 | 05 |
| Street Address |
11110 MEDICAL CAMPUS RD SUITE 205 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093096778 | Rehan Waheed | Physical Medicine & Rehabilitation | 17 Western Maryland Parkway, Suite 100, Hagerstown, MD 21740 | 2011-09-08 |
| 1952480303 | Wendy Marie Hall | Physical Medicine & Rehabilitation | 322 E Antietam St, Suite 104, Hagerstown, MD 21740-5794 | 2006-11-06 |
| 1619924586 | Ehab M Shalaby | Physical Medicine & Rehabilitation | 324 E Antietam St, Suite #306a, Hagerstown, MD 21740-5754 | 2006-05-27 |
| 1588624498 | Ramakrishna R Kosuri | Physical Medicine & Rehabilitation | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2006-03-24 |
| 1124091582 | Ngozi Juliet Efobi | Physical Medicine & Rehabilitation | 1150 Professional Ct, Suite B, Hagerstown, MD 21740-5852 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123869 | Eastside Medical Care | Physical Medicine & Rehabilitation | 732b E Main St, Salisbury, MD 21804-5037 | 2018-05-09 |
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| 1922429935 | Health Management and Rehabilitation LLC | Physical Medicine & Rehabilitation | 13907 Willow Tree Dr, Rockville, MD 20850-5434 | 2013-12-17 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.