DR. MARK B DEYOUNG (NPI# 1306845045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306845045 |
| Entity Type | Individual |
| Full Name | DR. MARK B DEYOUNG |
| Credential | MD |
| Practice Address |
904 E Main St Knoxville IL 61448-1539 |
| Practice Telephone | 3092892341 |
| Practice Fax Number | 3092894206 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036108454 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0361084541 | 05 |
| Street Address |
904 E MAIN ST |
| City | KNOXVILLE |
| State | IL |
| Zip Code | 61448-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
| 1568483329 | Good Samaritan Nursing Home | Nursing Home Administrator | 407 N Hebard Street, Knoxville, IL 61448 | 2006-07-21 |
| 1033241245 | Robert Wallace White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2007-03-12 |
| 1942567938 | Robert W. & Amy White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2012-04-16 |
| 1326035304 | County of Knox | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2005-10-04 |
| 1568927150 | Michelle Nelson | Occupational Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-02-07 |
| 1295299923 | Marci Tyrrell | Physical Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-01-28 |
| 1740612704 | Jinal Gala | Speech-Language Pathologist | 800 N Market St, Knoxville, IL 61448-1096 | 2013-08-01 |
| 1033354725 | Knox County Nursing Home | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2008-12-09 |
| 1912550302 | Katherine Michele Morrissey | Occupational Therapist | 800 N Market St, Knoxville, IL 61448-1097 | 2019-07-24 |
| Find all providers in zip 61448 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1114483864 | Ucfa Physicians Network Group of Tennessee | Family Medicine | 223 Hiawassee Ave, Knoxville, TN 37917-4933 | 2019-02-19 |
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1558843235 | Geneva Lynne Worthington | Family Medicine | 135 Lovell Rd, Knoxville, TN 37934-1904 | 2018-08-30 |
| 1306325816 | Muslim Community of Knoxville's Shifa Clinic | Family Medicine | 1801 Ailor Ave, Knoxville, TN 37921-5845 | 2018-08-07 |
| 1003307422 | Dakotah Asher | Family Medicine | 4629 Mill Branch Ln, Knoxville, TN 37938-3358 | 2018-05-21 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1982133559 | Morgan Spurlock | Family Medicine | 2519 Willow Point Way, Knoxville, TN 37931-3162 | 2017-06-07 |
| 1700332624 | Halls Physician Services, Pllc | Family Medicine | 7000 Maynardville Highway, Knoxville, TN 37918-5736 | 2016-08-31 |
| Find all providers in KNOXVILLE | ||||
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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.