MARK MOZINGO (NPI# 1427077882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427077882 |
| Entity Type | Individual |
| Full Name | MARK MOZINGO |
| Practice Address |
24035 Three Notch Rd Hollywood MD 20636-4871 |
| Practice Telephone | 3013737900 |
| Practice Fax Number | 3013736900 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0002563 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24035 THREE NOTCH RD |
| City | HOLLYWOOD |
| State | MD |
| Zip Code | 20636-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324440 | Nrh-cpt Regional Rehab LLC | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2005-05-31 |
| 1013537943 | Sydney Deems | Student in an Organized Health Care Education/Training Program | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-04-21 |
| 1477182293 | Jewel Lucendia Ory | Dietitian, Registered | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-04-03 |
| 1447887781 | National Rehabiliation Hospital, Inc | Clinic/Center | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2020-03-25 |
| 1083252613 | Crystal Martirano | Physical Therapy Assistant | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-12-13 |
| 1447894597 | Neelesh Katkar | Physical Therapist | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-11-01 |
| 1497398093 | Rachel Leanne Bilo | Physician Assistant | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-10-26 |
| 1467015560 | Dawn Marie Drury | Nurse Practitioner | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2019-04-15 |
| 1194249177 | Mary Clark Magill | Registered Nurse | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2017-08-01 |
| 1750802005 | Yazan Yacoub Hanna Sawalha | Student in an Organized Health Care Education/Training Program | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841708427 | Lisa Early | Case Manager/Care Coordinator | 24077 John Cameron Way, Hollywood, MD 20636 | 2018-01-17 |
| 1326439365 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd., Hollywood, MD 20636 | 2015-02-12 |
| 1972810612 | Kathleen Latona Boyles | Pharmacist | 24288 Three Notch Road, Hollywood, MD 20636 | 2010-09-01 |
| 1386825271 | Vijaya Guduri | Internal Medicine | 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 | 2007-11-19 |
| 1245397678 | St Johns Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd, Hollywood, MD 20636 | 2007-01-03 |
| 1194824755 | Julie Wilkening | Chiropractor | 24351 Mervell Dean Rd #115, Hollywood, MD 20636 | 2006-09-21 |
| 1225134281 | Mary Rice Hughes | Registered Nurse | 44101 Airport View Dr., Hollywood, MD 20636 | 2006-09-16 |
| 1376654194 | Suzanne Janis Pelz | Counselor | 44101 Airport View Drive, Hollywood, MD 20636 | 2006-08-31 |
| 1750549010 | Iram A Khan | Internal Medicine | 24035 Three Notch Road, Hollywood, MD 20636 | 2008-05-22 |
| 1851473110 | John Elliott Walker | Registered Nurse | 44101 Airport View Drive, Hollywood, MD 20636 | 2006-10-19 |
| Find all providers in zip 20636 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1336542356 | Bernard Loeffke | Physician Assistant | 1450 Sheridan St Apt 25e, Hollywood, FL 33020-2267 | 2014-10-04 |
| 1285063099 | Danielle Buckley | Physician Assistant | 2373 N 37th Ave, Hollywood, FL 33021-3647 | 2013-11-02 |
| 1275597742 | Marsha Gay Delavan | Physician Assistant | 6180 Highway 162, Hollywood, SC 29449-5767 | 2006-04-13 |
| 1750387254 | Carmelle Beauvais | Physician Assistant | 3700 Johnson Street, Hollywood, FL 33021 | 2005-06-21 |
| 1770058810 | Karina Cortes | Physician Assistant | 3800 Johnson St, Suite D, Hollywood, FL 33021 | 2018-10-04 |
| 1265972004 | Claudia Cortes | Physician Assistant | 1150 N 35th Ave, Suite 445, Hollywood, FL 33021-5424 | 2017-02-27 |
| 1740735919 | Courtney Alexandra Lennon | Physician Assistant | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2016-08-17 |
| 1427420447 | Jessica Cravens | Physician Assistant | 3700 Washington St, #500, Hollywood, FL 33021-8256 | 2015-10-29 |
| Find all providers in HOLLYWOOD | ||||
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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.