MR. MARK EDWARD CHOQUETTE JR. (NPI# 1366623886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366623886 |
| Entity Type | Individual |
| Full Name | MR. MARK EDWARD CHOQUETTE JR. |
| Credential | PA-C |
| Practice Address |
615 Ozark Rd Abbeville AL 36310-2629 |
| Mailing Address |
1414 Elba Hwy Troy AL 36079-6020 |
| Practice Telephone | 3345851171 |
| Practice Fax Number | 3345851182 |
| Mailing Telephone | 3346706726 |
| Mailing Fax Number | 3346706731 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA536 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA536 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 125758 | 05 | |
| AL | STATE LICENSE | PA536 | 01 |
| NCCPA | 1076470 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777619 | Mark E. Choquette | Emergency Medicine | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2006-02-06 |
| Street Address |
615 OZARK RD |
| City | ABBEVILLE |
| State | AL |
| Zip Code | 36310-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558321786 | Richard Lewis Bendinger Jr. | Family Medicine | 615 Ozark Rd, Abbeville, AL 36310-2629 | 2006-03-23 |
| 1700183753 | Abbeville Pharmacy LLC | Pharmacy | 615 Ozark Rd, Suite B, Abbeville, AL 36310-2629 | 2011-02-26 |
| 1003112145 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 615 Ozark Rd, Abbeville, AL 36310-2629 | 2011-02-08 |
| 1740580422 | Southeast Alabama Rural Health Associates | Clinic/Center | 615 Ozark Rd, Abbeville, AL 36310-2629 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396243234 | Screamer Fire & Rescue | Ambulance | 7642 Co. Rd 97, Abbeville, AL 36310 | 2018-01-25 |
| 1700113537 | Dental Laser & Implant Group | Dentist | Centro Ejectivo Plaza Juarez Lincoln, #205, Cd. Juarez, CHIH 36310 | 2009-11-16 |
| 1033254305 | Henry County Health Dept-abbeville Child | Case Management | 300 Trawick St, Abbeville, AL 36310 | 2007-02-21 |
| 1760531792 | Mark Steven Morelock Sr. | Dentist | 301 Dothan Road, Abbeville, AL 36310 | 2007-01-09 |
| 1467529495 | Jeffrey H. Fadil | Internal Medicine | 1833 Co Rd 133, Abbeville, AL 36310 | 2006-11-28 |
| 1801906730 | Pitzing Pharmaceuticals Inc | Pharmacist | 201 Kirkland Street, Abbeville, AL 36310 | 2006-08-30 |
| 1700992690 | Henry County Nursing Home | Skilled Nursing Facility | 212 Dothan Road, Abbeville, AL 36310 | 2006-08-22 |
| 1760896039 | Adam Joseph Krukas | Pharmacist | 514 Kirkland St, Dothan, AL 36310 | 2014-06-16 |
| 1255466264 | State of Alabama Department of Public Health | Public Health or Welfare | 300 Trawick St, Abbeville, AL 36310 | 2007-02-22 |
| 1639214901 | Henry County Health Dept-abbeville Fp Clinic | Public Health or Welfare | 300 Trawick St, Abbeville, AL 36310 | 2007-02-21 |
| Find all providers in zip 36310 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639252992 | Brad William Frick | Physician Assistant | 121 E Saint Victor St, Abbeville, LA 70510-5120 | 2006-10-23 |
| 1760799290 | Abbeville Emergency Group LLC | Physician Assistant | 118 N Hospital Dr, Abbeville, LA 70510-4039 | 2010-09-03 |
| 1992888168 | James William Carruth | Physician Assistant | 121 E Saint Victor St, Abbeville, LA 70510-5120 | 2006-10-23 |
| 1689684623 | Sterling Emergency Medical Services, A Professional Corporation | Physician Assistant | 118 N Hospital Dr, Abbeville, LA 70510-4039 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639154 | Grace Blane Mcmahan | Physician Assistant | 972 Montclair Rd Ste 100, Birmingham, AL 35213-1203 | 2019-10-08 |
| 1013558147 | Advanced Provider Solutions, LLC | Physician Assistant | 245 Cobb Rd, Dothan, AL 36301-7504 | 2019-09-30 |
| 1780247692 | Rachel Anne Stallman | Physician Assistant | 601 S 19th Street, Birmingham, AL 35294-0001 | 2019-04-16 |
| 1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
| 1235696105 | Audrey Rachel Williamson | Physician Assistant | 2862 Briarfield Ln, Mobile, AL 36693-4068 | 2019-02-26 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1952806499 | Christy L Franklin | Physician Assistant | 4305 Dolly Ridge Ln, Vestavia, AL 35243-1834 | 2018-03-27 |
| 1538662994 | Morgan Goss | Physician Assistant | 700 Montgomery Hwy Ste 194, Vestavia Hills, AL 35216-1879 | 2018-03-13 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1942748272 | Miranda Hornsby | Physician Assistant | 521 Montgomery Hwy Ste 117, Vestavia, AL 35216-1876 | 2017-02-07 |
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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.