MR. MARK M MARSHALL (NPI# 1548742190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548742190 |
| Entity Type | Individual |
| Full Name | MR. MARK M MARSHALL |
| Credential | FNP-C |
| Practice Address |
1205 N Highway 11 West Union SC 29696-2715 |
| Practice Telephone | 8646385402 |
| Practice Fax Number | 8646386126 |
| Mailing Telephone | 8646385402 |
| Mailing Fax Number | 8646386126 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21984 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457595001 | Mark Abraham Marshall | Emergency Medicine | 3300 Douglas Blvd., Suite 405, Emp, Rosevill, CA 95661 | 2009-04-27 |
| 1053523498 | Mark Anthony Marshall | Dentist | 522 Beaver St, Sewickley, PA 15143-1779 | 2007-05-06 |
| 1467500934 | Mark Marshall | Physical Therapist | 2136 Robinson Rd Ste 1, Jackson, MI 49203-3558 | 2007-01-08 |
| 1457392086 | Mark Marshall | Dentist | 5370 Oberlin Ave, Lorain, OH 44053-3451 | 2006-06-08 |
| 1295735595 | Mark Scott Marshall | Psychiatry & Neurology | 4455 E 12th Ave, Denver, CO 80220-2415 | 2005-07-28 |
| 1811136997 | Mark Marshall | Social Worker | 3 Atrium Dr, Suite 202, Albany, NY 12205-1417 | 2009-02-12 |
| 1326197963 | Mark J. Marshall | Internal Medicine | 50 Hospital Hill Rd, Sharon Hospital, Sharon, CT 06069-2096 | 2007-01-10 |
| 1346317864 | Mark Allen Marshall | Physician Assistant | 2165 Medical Park Dr, Hickory, NC 28602-8809 | 2006-11-29 |
| 1740233006 | Mark Duane Marshall | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2006-05-18 |
| Street Address |
1205 N HIGHWAY 11 |
| City | WEST UNION |
| State | SC |
| Zip Code | 29696-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205993466 | Christina A Booker | Family Medicine | 1205 N Highway 11, West Union, SC 29696-2715 | 2007-01-03 |
| 1518511229 | Christina Diane Smith | Nurse Practitioner | 1205 N Highway 11, West Union, SC 29696-2715 | 2019-07-31 |
| 1417174673 | Mary Katherine Reynolds | Physician Assistant | 1205 N Highway 11, West Union, SC 29696-2715 | 2007-04-19 |
| 1386701563 | Edward H. Booker Sr. | Family Medicine | 1205 N Highway 11, West Union, SC 29696-2715 | 2007-01-03 |
| 1669539839 | Edward H. Booker Jr. | Family Medicine | 1205 N Highway 11, West Union, SC 29696-2715 | 2007-01-03 |
| 1184771321 | Golden Corner Family Prac | Family Medicine | 1205 N Highway 11, West Union, SC 29696-2715 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450075 | The Truth Outreach | Clinic/Center | 185 Cornerstone Drive, West Union, SC 29696 | 2015-10-27 |
| 1043470966 | Marie Maude Sussman | Nurse Practitioner | 1205 N Hwy 11, West Union, SC 29696 | 2008-06-13 |
| 1699955898 | Kimberly Hart Lauer | Physical Therapist | 148 Foothills Center Dr Ste 148&150, West Union, SC 29696 | 2007-11-06 |
| 1164583183 | C Fred Marcinak Dmd Pa | Dentist | 102 Lusk Drive, West Union, SC 29696 | 2006-12-13 |
| 1700814522 | Frederick Harold Alexander Jr. | Pharmacist | 180 Scenic Hwy, West Union, SC 29696 | 2006-06-29 |
| 1457535072 | Gregory Norwood Winburn | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2007-12-18 |
| 1588732572 | Jeffrey Wayne Pierce | Physical Therapist | 148 Foothills Ctr Dr, Ste 148, West Union, SC 29696 | 2006-11-30 |
| 1740295690 | Ingles Markets Inc | Pharmacy | 180 Scenic Hwy, West Union, SC 29696 | 2006-07-29 |
| 1366052490 | Casey Bishe | Physical Therapist | 148 Foothills Center Dr # 148, West Union, SC 29696-2518 | 2020-08-04 |
| 1528489671 | Thomas John Chestnut | Physical Therapist | 148 Foothills Center Dr Ste 148, West Union, SC 29696-2518 | 2013-12-16 |
| Find all providers in zip 29696 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519943 | Judith Ann Fulton | Nurse Practitioner | 14575 State Route 41, West Union, OH 45693-9744 | 2017-06-28 |
| 1568568210 | Joann Nutter | Nurse Practitioner | 302 Columbia St, West Union, WV 26456-1108 | 2006-09-16 |
| 1699306118 | Mayumi Hiraide | Nurse Practitioner | 211 N Wilson Dr, West Union, OH 45693-1562 | 2020-02-03 |
| 1184270050 | Marcia L Silcott | Nurse Practitioner | 211 N Wilson Dr, West Union, OH 45693-1562 | 2019-08-15 |
| 1518511229 | Christina Diane Smith | Nurse Practitioner | 1205 N Highway 11, West Union, SC 29696-2715 | 2019-07-31 |
| 1629449517 | Dawne Hamilton | Nurse Practitioner | 33 Greenwood Ave, West Union, OH 45693-9663 | 2015-10-18 |
| 1831515303 | Kristen Pertuset | Nurse Practitioner | 211 N Wilson Dr, West Union, OH 45693-1562 | 2014-03-08 |
| 1184753881 | Becky Lynne Basford | Nurse Practitioner | 210 N Wilson Dr, Adams County Hospital, West Union, OH 45693-1577 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST UNION |
| Zip Code | 29696 |
Please comment or provide details below to improve the information on MR. MARK M MARSHALL.
| 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.