DR. MARK WARREN ENANDER (NPI# 1285690610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285690610 |
| Entity Type | Individual |
| Full Name | DR. MARK WARREN ENANDER |
| Credential | D.P.M. |
| Practice Address |
333 School St Suite 203 Pawtucket RI 02860-5334 |
| Practice Telephone | 4017258989 |
| Practice Fax Number | 4013120029 |
| Mailing Telephone | (401) 725-8989 |
| Mailing Fax Number | 4013120029 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2017-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
00249 | RI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNITED HEALTH | 2700154 | 01 |
| RI | BCBS OF RI | 70665 | 01 |
| RI | 9007066 | 05 | |
| RI | NHOOD # | 2257 | 01 |
| RI | TUFTS # | 000249 | 01 |
| RI | BLUECHIP | 203992 | 01 |
| Street Address |
333 SCHOOL ST SUITE 203 |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-5334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466470 | Thomas D Dellatorre | Specialist | 333 School St, Suite 302, Pawtucket, RI 02860-5334 | 2005-09-07 |
| 1598007221 | Hearing Centers of Rhode Island | Specialist | 333 School St, Suite 210, Pawtucket, RI 02860-5334 | 2013-03-20 |
| 1114271053 | Glenn S. Prescod, M.d., M.p.h., Inc. | Optometrist | 333 School St, Suite 301, Pawtucket, RI 02860-5334 | 2012-10-30 |
| 1578718391 | Terrence Anthony Maxwell | Technician/Technologist | 333 School St, Suite 304, Pawtucket, RI 02860-5334 | 2008-11-20 |
| 1730334699 | Urologic Specialists of New England, LLC | Urology | 333 School St, Pawtucket, RI 02860-5334 | 2008-11-19 |
| 1689847782 | Robert R Rogers | Audiologist | 333 School St, 302, Pawtucket, RI 02860-5334 | 2008-04-09 |
| 1679742332 | Megan Mcmahon | Obstetrics & Gynecology | 333 School St, Suite 205, Pawtucket, RI 02860-5334 | 2008-02-27 |
| 1750568374 | Aaron J Shemenski | Podiatrist | 333 School St, Suite 102, Pawtucket, RI 02860-5334 | 2008-01-25 |
| 1902095896 | Cynthia M. Hanna, M.d. | Obstetrics & Gynecology | 333 School St, Suite 200, Pawtucket, RI 02860-5334 | 2007-10-17 |
| 1619166501 | Nabil Y. Khoury,m.d. | Obstetrics & Gynecology | 333 School St, Suite 200, Pawtucket, RI 02860-5334 | 2007-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619167905 | Podiatry Services Ltd | Podiatrist | 10 Summer St, Pawtucket, RI 02860-2107 | 2007-08-01 |
| 1669472874 | Mark H Kuhar | Podiatrist | 10 Summer St, Pawtucket, RI 02860-2107 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518089606 | Thomas L Huott | Podiatrist | 282 County Road, Barrington, RI 02806-2412 | 2007-04-06 |
| 1669567962 | John C Bogue | Podiatrist | 19 Village Plaza Way, N. Scituate, RI 02857 | 2006-10-03 |
| 1669523098 | Advanced Foot Specialists, Inc | Podiatrist | 19 Village Plaza Way, N Scituate, RI 02857-1849 | 2007-01-14 |
| 1952365652 | Eric Jason Buchbaum | Podiatrist | 1 High St, Wakefield, RI 02879-3103 | 2006-04-12 |
| 1972566644 | James Mccormick | Podiatrist | 24 Salt Pond Rd, Unit E1, Wakefield, RI 02879-4314 | 2006-04-11 |
Please comment or provide details below to improve the information on DR. MARK WARREN ENANDER.
| 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.