DR. MARK SAMUEL MABUS (NPI# 1407010630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407010630 |
| Entity Type | Individual |
| Full Name | DR. MARK SAMUEL MABUS |
| Credential | MD, RPH |
| Practice Address |
935 E Snyder Ave Montpelier OH 43543-1251 |
| Practice Telephone | 4194853106 |
| Practice Fax Number | 4194858776 |
| Mailing Telephone | 4194853106 |
| Mailing Fax Number | 4194858776 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2009-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.092452 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD | 00769943 | 01 |
| Street Address |
935 E SNYDER AVE |
| City | MONTPELIER |
| State | OH |
| Zip Code | 43543-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235176678 | R O Kanney | Family Medicine | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2006-06-02 |
| 1336590660 | Lara Wynne | Nurse Practitioner | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2016-06-28 |
| 1073708434 | Lisa Pool | Nurse Practitioner | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2007-09-10 |
| 1386764066 | Midwest Community Health Associates | Family Medicine | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2007-03-29 |
| 1376573964 | Peggy Hallett Watson | Family Medicine | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2006-07-03 |
| 1164467635 | Glen T Seaman | Family Medicine | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093955460 | Montpelier Exempted Village Sd | Local Education Agency (LEA) | 1015 E Brown Rd, Montpelier, OH 43543 | 2009-02-25 |
| 1013005255 | Williams County Office of Auditor | Public Health or Welfare | 310 Lincoln Avenue, Montpelier, OH 43543 | 2006-10-11 |
| 1538559455 | Samaritan Emergency Physicians LLP | Emergency Medicine | 909 East Snyder Avenue, Montpelier, OH 43543 | 2015-01-30 |
| 1902971831 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1625 E Main St, Montpelier, OH 43543 | 2006-11-24 |
| 1982676128 | Roger Lee Saneholtz | Optometrist | 306 W Main St, Montpelier, OH 43543 | 2006-02-02 |
| 1174562466 | James Chester Wallace | Chiropractor | 110 N Jonesville St, Montpelier, OH 43543-1006 | 2006-06-05 |
| 1124259692 | Joseph P Boyle Sr. | Pharmacist | 221 W Main St, Montpelier, OH 43543-1015 | 2009-08-02 |
| 1831287036 | Steve William Rings | Pharmacist | 221 W Main St, Montpelier, OH 43543-1015 | 2006-10-11 |
| 1093803140 | Scott Stephen Brandt | Pharmacist | 221 W Main St, Montpelier, OH 43543-1015 | 2006-10-11 |
| 1033130166 | Rings Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 221 W Main St, Montpelier, OH 43543-1015 | 2006-07-22 |
| Find all providers in zip 43543 | ||||
| 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 |
|---|---|---|---|---|
| 1750559308 | Micheal Friedman | Family Medicine | 146 Main St Unit 6, Montpelier, VT 05602-2920 | 2008-02-18 |
| 1114086048 | Larry David Bomsta | Family Medicine | 467 Washington St, Montpelier, ID 83254-1544 | 2006-12-06 |
| 1952497810 | Clay I. Campbell | Family Medicine | 166 So 5th St, Montpelier, ID 83254-1557 | 2006-10-05 |
| 1720029564 | Clarence A Bell | Family Medicine | 909 East Snyder Avenue, Montpelier, OH 43543-1271 | 2006-06-10 |
| 1235176678 | R O Kanney | Family Medicine | 935 E Snyder Ave, Montpelier, OH 43543-1251 | 2006-06-02 |
| 1538129184 | Lori J Skidmore | Family Medicine | 121 E High St, Montpelier, IN 47359-1105 | 2006-03-27 |
| 1477916062 | Emily Greer Jones | Family Medicine | 156 Main St, Montpelier, VT 05602-2702 | 2016-03-31 |
| 1699057166 | Bear Lake County Memorial Hospital | Family Medicine | 465 Washington St, Montpelier, ID 83254-1544 | 2011-09-12 |
| 1861620262 | Lance A Hansen | Family Medicine | 465 Washington St, Montpelier, ID 83254-1544 | 2009-06-24 |
| 1366677759 | Trevor Dean Jacobson | Family Medicine | 166 S 5th St, Montpelier, ID 83254-4959 | 2009-05-28 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 43543 |
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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.