MARK ELLIS HEPLER (NPI# 1497996805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497996805 |
| Entity Type | Individual |
| Full Name | MARK ELLIS HEPLER |
| Credential | P.A. |
| Practice Address |
3625 N Elm St Ste 110a Greensboro NC 27455 |
| Mailing Address |
3625 N Elm St Ste 110a Greensboro NC 27455-2697 |
| Practice Telephone | 3363985656 |
| Practice Fax Number | 3363985665 |
| Mailing Telephone | 3363985656 |
| Mailing Fax Number | 3363985665 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-01736 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3625 N ELM ST STE 110A |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366815755 | Ruth Kellam Kerley | Social Worker | 3625 N Elm St Ste 110a, Greensboro, NC 27455-2697 | 2015-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| 1750327870 | Samuel Lester Tyson | Ophthalmology | 3810 N Elm St, 209, Greensboro, NC 27455 | 2006-06-20 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869856 | Arlo C. Lassen | Physician Assistant | 1309 N Elm St, Greensboro, NC 27401-1005 | 2005-11-22 |
| 1417955410 | Matthew Lloyd Strupp | Physician Assistant | 1000 Spring Garden Street, Anna Gove Student Health Center, Greensboro, NC 27402-6170 | 2005-07-13 |
| 1205450400 | Wylder Fondaw | Physician Assistant | 1126 N Church St, Greensboro, NC 27401-1000 | 2020-06-03 |
| 1255968376 | Cadence Hilary Furth | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2020-03-26 |
| 1386284305 | Margaux Venter | Physician Assistant | 1121 N Church St, Greensboro, NC 27401 | 2020-01-07 |
| 1275095499 | Brandon Anthony Morelli | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2019-04-05 |
| 1952875288 | Alexandra Marie Louk | Physician Assistant | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2019-01-21 |
| 1932605862 | Sophia Caccavale | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2018-03-31 |
| 1902348667 | Kelly Gekas | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2016-11-12 |
| 1497108930 | Ellyn Mcginnis | Physician Assistant | 7 Glassworks Rd, Greensboro, PA 15338-9507 | 2016-07-20 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on MARK ELLIS HEPLER.
| 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.