FRED MARKS (NPI# 1467445155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467445155 |
| Entity Type | Individual |
| Full Name | FRED MARKS |
| Credential | M.D. |
| Practice Address |
1818 Davie Ave Statesville NC 28677-3524 |
| Mailing Address |
650 Signal Hill Drive Ext Po Box 1845 Statesville NC 28625-4353 |
| Practice Telephone | 7048731036 |
| Mailing Telephone | 7048734277 |
| Mailing Fax Number | 7048734511 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23606 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8953949 | 05 |
| Street Address |
1818 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050184 | James S Foushee | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-08-19 |
| 1770056327 | Piedmont Healthcare, Pa | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2019-01-07 |
| 1871071878 | Ishmael Robert Hayfron | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677 | 2018-08-01 |
| 1386825131 | Tania Mimi Acevedo | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677 | 2007-11-21 |
| 1891719530 | Teresa B Campbell | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677-3524 | 2006-07-26 |
| 1023045135 | Tanya Kapp Maxwell | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677-3524 | 2006-06-26 |
| 1811988231 | Carla R Pence | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225548597 | Piedmont Healthcare, Pa | Internal Medicine | 276 Old Mocksville Rd Ste 105, Statesville, NC 28625-1950 | 2017-10-02 |
| 1154609147 | Iredell Physician Network LLC | Internal Medicine | 1714 Davie Ave, Statesville, NC 28677-3522 | 2011-07-26 |
| 1861692188 | Charalambos Demetri | Internal Medicine | 142 Sherlock Drive, Statesville, NC 28625-1953 | 2007-07-24 |
| 1497723795 | John Nicholson | Internal Medicine | 728 Hartness Rd, Statesville, NC 28677-3425 | 2006-03-10 |
| 1780663567 | Henry C Walters Jr. | Internal Medicine | 1217 Davie Ave, Statesville, NC 28677-3511 | 2006-01-11 |
| 1194704981 | William Andrew White | Internal Medicine | 517 Brookdale Dr, Statesville, NC 28677-4107 | 2006-01-11 |
| 1861489759 | Willie Roscoe Whitaker | Internal Medicine | 2117 Simonton Rd, Suite 102, Statesville, NC 28625-8403 | 2005-10-05 |
| 1528050184 | James S Foushee | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-08-19 |
| 1477545986 | Roger A Hatharasinghe | Internal Medicine | 138 Sherlock Dr, Statesville, NC 28625-1916 | 2005-08-19 |
| 1245231430 | Mel Voulgaropoulos | Internal Medicine | 1503 E Broad St, Statesville, NC 28625-4301 | 2005-08-10 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on FRED MARKS.
| 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.