MARK S. PACK, MD, PSC (NPI# 1356542492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356542492 |
| Entity Type | Organization |
| Organization Name | MARK S. PACK, MD, PSC |
| Practice Address |
1101 Saint Christopher Dr Suite 320 Ashland KY 41101-7087 |
| Practice Telephone | 6068339556 |
| Mailing Telephone | 6068339556 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MARK S. PACK (OWNER) |
| Authorized Official Telephone | 6068339556 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 28407 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
1101 SAINT CHRISTOPHER DR SUITE 320 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-7087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530008 | Rancie Wayne Hannah | Family Medicine | 1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087 | 2005-07-07 |
| 1821381245 | James Harrison Andrew Bailey | Family Medicine | 1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087 | 2011-05-18 |
| 1568794428 | Bellefonte Physician Services, Inc. | Orthopaedic Surgery | 1101 Saint Christopher Dr, Ste. 340, Ashland, KY 41101-7087 | 2010-02-03 |
| 1962635151 | Ohio Valley Pain Medicine, Psc | Anesthesiology | 1101 Saint Christopher Dr, Suite 350, Ashland, KY 41101-7087 | 2009-09-03 |
| 1710130406 | Bellefonte Physician Services, Inc. | Physical Medicine & Rehabilitation | 1101 Saint Christopher Dr, Ste 200, Ashland, KY 41101-7087 | 2008-10-28 |
| 1679734693 | Jackie R Kazee | Family Medicine | 1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087 | 2008-06-23 |
| 1497922207 | Melody Danielle Prouse | Audiologist | 1101 Saint Christopher Dr, Suite 350, Ashland, KY 41101-7087 | 2008-05-12 |
| 1679764534 | Brian Philip Defade | Urology | 1101 Saint Christopher Dr, Ashland, KY 41101-7087 | 2007-08-06 |
| 1477754919 | Derek W, Jones | Family Medicine | 1101 Saint Christopher Dr, Suite 250, Ashland, KY 41101-7087 | 2007-05-31 |
| 1497970487 | Ashland Bellefonte Ob-gyn | Specialist | 1101 Saint Christopher Dr, Ste. 340, Ashland, KY 41101-7087 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558761734 | Ashland Integrated Medicine Psc | Surgery | 155 W. Central Avenue, Ashland, KY 41101-7364 | 2014-08-26 |
| 1427291426 | Philip Everett Myers | Surgery | 700 County Road 1754, Ashland, OH 44805-9390 | 2009-04-07 |
| 1003096116 | David S Lewis | Surgery | 613 23rd St Ste 320, Ashland, KY 41101-2877 | 2007-11-06 |
| 1336297522 | Khalid Mohamed Shalaby | Surgery | 617 23rd St Ste 13, Ashland, KY 41101-2845 | 2007-01-06 |
| 1750466371 | Pedro Kho Lim | Surgery | 3123 Forestview Dr, Ashland, KY 41102-6782 | 2006-10-25 |
| 1972545622 | George A Fall | Surgery | 216 3rd St W, Suite 201, Ashland, WI 54806-1602 | 2006-06-10 |
| 1609822816 | Timothy Michael Wheeler | Surgery | 613 23rd St Ste 440, Ashland, KY 41101-2885 | 2006-05-26 |
| 1548216245 | Eric F. Smith | Surgery | 613 23rd Street, Suite 440, Ashland, KY 41101 | 2006-05-25 |
| 1275588592 | Christopher T Bailey Do Pllc | Surgery | 400 Saint Christopher Dr, Ashland, KY 41101-7022 | 2006-05-24 |
| 1770562977 | Paul Hoffman | Surgery | 1801 Hwy 99 N, Suite 2, Ashland, OR 97520-9152 | 2006-01-16 |
| Find all providers in ASHLAND | ||||
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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.