MARK DANIELS (NPI# 1245649029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245649029 |
| Entity Type | Individual |
| Full Name | MARK DANIELS |
| Credential | PCNP |
| Practice Address |
340 9th St Florence OR 97439 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 5419021634 |
| Practice Fax Number | 5419029702 |
| Mailing Telephone | 3607291412 |
| Mailing Fax Number | 3607293025 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
201402362RN | OR | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201810942NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
53268 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3415 Se Powell Blvd, Portland, OR 972023371 | 5032349591 | |
| 826 Anthony Dr., Anthony, NM 88021 | 5752015135 | 5752015131 |
| 105 W Griggs Ave, Las Cruces, NM 880011235 | 5756472800 | 5756472898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205249257 | Mark Daniels | Specialist | 630 S Elm Ave, Webster Groves, MO 63119-4047 | 2014-06-07 |
| 1023445467 | Mark Daniels | Contractor | 1700 Crestmeadow Ln, Mansfield, TX 76063-7929 | 2013-09-30 |
| 1194908889 | Mark C Daniels | Psychologist | 409 S Pine St, Vermillion, SD 57069-3515 | 2007-12-17 |
| 1932312170 | Mark Edward Daniels | Dentist | 14441 Memorial Dr Ste 14, Houston, TX 77079-6737 | 2007-05-07 |
| 1508934209 | Mark Steven Daniels | Hearing Instrument Specialist | 312 N Butler Ave, Farmington, NM 87401-6946 | 2006-12-01 |
| 1043215718 | Mark F Daniels | Internal Medicine | 100 Spalding Dr, Ste 208, Naperville, IL 60540-6552 | 2005-06-17 |
| 1376809020 | Mark A Daniels | Social Worker | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2012-04-06 |
| 1831471812 | Mark Richard Daniels | Counselor | 17113 Minnetonka Blvd, West Entrance, Minnetonka, MN 55345 | 2011-09-15 |
| 1346567757 | Mark Anthony Daniels | Plastic Surgery | 800 12th Ave Ste 100, Fort Worth, TX 76104 | 2010-04-24 |
| 1568552651 | Mark Daniels | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-13 |
| Street Address |
340 9TH ST |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679567788 | Gina Simone Wilson | Obstetrics & Gynecology | 340 9th St, Florence, OR 97439-9470 | 2005-09-02 |
| 1336431881 | Charles Anthony Saltalamacchia | Obstetrics & Gynecology | 340 9th St, Florence, OR 97439-9470 | 2011-05-03 |
| 1972773547 | Sarah Ann Zimmerman | Counselor | 340 9th St, Florence, OR 97439-9470 | 2008-03-10 |
| 1568502672 | Barbara C Anderson | Nurse Practitioner | 340 9th St, Florence, OR 97439-9470 | 2007-02-07 |
| 1811056633 | Elizabeth Jean Dietrich | Physician Assistant | 340 9th St, Florence, OR 97439-9470 | 2006-12-07 |
| 1528005253 | Peggy Lisa Mccullum | Advanced Practice Midwife | 340 9th St, Florence, OR 97439-9470 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| 1467018390 | Latonya Jaton Mcgowan | Nurse Practitioner | 1393 Old Pearson Rd, Florence, MS 39073-9468 | 2019-05-16 |
| 1154860153 | Serenus Senior Care Advisors Pllc | Nurse Practitioner | 158 Heathrow Dr, Florence, AL 35633-1570 | 2017-02-23 |
| 1780843656 | Sapphire Psychiatric Health Care Services, Inc | Nurse Practitioner | 5527 Old Hwy 93, Suite C, Florence, MT 59833-6570 | 2008-06-05 |
| 1154503845 | Mimi Lemaire Morris | Nurse Practitioner | 5527 Old Highway 93, Suite C, Florence, MT 59833-6564 | 2007-12-04 |
| 1861582173 | Karen Marie Sander-buscemi | Nurse Practitioner | 10 Main St Ste 3, Florence, MA 01062-3158 | 2006-10-15 |
| 1073596995 | Jane G Pittenger | Nurse Practitioner | 1495 W 8th, Florence, OR 97439 | 2005-11-23 |
| 1013527837 | Dixie Lee Zimmerman | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-08-06 |
| 1629686043 | Althea Granger | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2020-07-22 |
| 1194296269 | Leah Anne King | Nurse Practitioner | 7459 Burlington Pike, Florence, KY 41042-1553 | 2018-12-16 |
| Find all providers in FLORENCE | ||||
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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.