DR. MARK KERRY STEPHENS (NPI# 1568426591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568426591 |
| Entity Type | Individual |
| Full Name | DR. MARK KERRY STEPHENS |
| Credential | MD |
| Practice Address |
130 Goff Mountain Rd Cross Lanes WV 25313-1419 |
| Mailing Address |
314 Goff Mountain Rd Ste 3 Cross Lanes WV 25313-6600 |
| Practice Telephone | 3043887070 |
| Practice Fax Number | 3043887075 |
| Mailing Telephone | 3043887782 |
| Mailing Fax Number | 3043887788 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14020 | WV | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 14020 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 930063432 | 01 | |
| WV | 0070668000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457833915 | Mark Stephens | Registered Nurse | 811 Sw Washington Ave, Lawton, OK 73501-7425 | 2018-08-31 |
| 1750501771 | Mark Clay Stephens | Dentist | 138 N Keeneland Dr, Suite C, Richmond, KY 40475-7951 | 2007-05-01 |
| 1053489401 | Mark Charles Stephens | Pharmacist | 297 Drehersville Rd, Orwigsburg, PA 17961-9603 | 2006-12-02 |
| 1093370603 | Mark Stephens Jr. | Student in an Organized Health Care Education/Training Program | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 | 2019-05-08 |
| 1003282419 | Mark Stephens | Acupuncturist | 1 Church St, New Paltz, NY 12561-1514 | 2015-08-19 |
| 1477960870 | Mark Stephens | Specialist/Technologist | 400 7th St, Bay City, TX 77414-4840 | 2014-07-17 |
| 1609286657 | Mark Anthony Stephens | Pediatrics | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2014-04-29 |
| 1699033373 | Mark Thomas Stephens | Ophthalmology | 5494 Glen Lakes Dr, Dallas, TX 75231 | 2012-05-01 |
| 1083992556 | Mark Lane Stephens | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2011-08-01 |
| 1770871568 | Mark D Stephens | Physical Therapist | 5770 S 250 E, Murray, UT 84107 | 2011-07-14 |
| Street Address |
130 GOFF MOUNTAIN RD |
| City | CROSS LANES |
| State | WV |
| Zip Code | 25313-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011527 | Teresa Sue Calhoun | Nurse Practitioner | 130 Goff Mountain Rd, Cross Lanes, WV 25313-1419 | 2006-04-10 |
| 1518163252 | Mark L. Douglas, Do | Internal Medicine | 130 Goff Mountain Rd, Ste 12, Cross Lanes, WV 25313-1419 | 2007-06-21 |
| 1700094976 | Maxwell Eyecare Center, Inc | Optometrist | 130 Goff Mountain Rd, Suite 12, Cross Lanes, WV 25313-1419 | 2007-05-19 |
| 1134256506 | Camc Sports Medicine and Rehab--cross Lanes | Clinic/Center | 130 Goff Mountain Rd, Cross Lanes, WV 25313-1419 | 2007-02-27 |
| 1215033386 | Amy Kristen Runyan | Physical Therapist | 130 Goff Mountain Rd, Cross Lanes, WV 25313-1419 | 2006-09-16 |
| 1205858438 | Scott Christopher Burgess | Physical Therapist | 130 Goff Mountain Rd, Cross Lanes, WV 25313-1419 | 2006-07-24 |
| 1417976382 | Integrated Health Care Providers, Inc | Physical Therapist | 130 Goff Mountain Rd, Cross Lanes, WV 25313-1419 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1578663589 | Dewey Wilson Mann Jr. | Dentist | 104 Goff Mtn Rd, Cross Lanes, WV 25313 | 2006-09-22 |
| Find all providers in zip 25313 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891030334 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 5161 Washington St W, Cross Lanes, WV 25313-1535 | 2012-12-11 |
| 1659489383 | Integrated Health Care Providers, Inc. | Emergency Medicine | 130 Goff Mountain Road, Cross Lanes, WV 25313 | 2006-08-25 |
| 1629434253 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 314 Goff Mountain Rd, Cross Lanes, WV 25313-6602 | 2016-01-12 |
| 1962466979 | Daniel Lee Smith | Emergency Medicine | 314 Goff Mountain Rd, Cross Lanes, WV 25313-6602 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1588198394 | Heather Wagner | Emergency Medicine | 423 Ridgewood Dr, Point Pleasant, WV 25550-3583 | 2017-04-18 |
| 1194276873 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 613 Randolph Avenue, Elkins, WV 26241-3950 | 2016-10-18 |
| 1679922686 | Ben Lasure | Emergency Medicine | 1 Medical Center Dr Room 7400, Morgantown, WV 26506-9149 | 2016-06-09 |
| 1912355223 | Damian Hegsted | Emergency Medicine | 1 Medical Center Drive, Room 7400, Po Box (9149), Morgantown, WV 26506 | 2016-05-26 |
| 1306201215 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 301 R H L Blvd Ste 3, Charleston, WV 25309-8275 | 2015-12-18 |
| 1962885582 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 123 Enterprise Drive, Logan, WV 25601-3750 | 2015-07-01 |
| 1457739377 | Kalah Ainsworth | Emergency Medicine | 61 Campus Dr Ste 200, Martinsburg, WV 25404-7542 | 2015-05-12 |
| 1790170835 | Chad Williams | Emergency Medicine | 177 Highpoint Ln, Princeton, WV 24739-6454 | 2015-04-06 |
| Find all providers with the same taxonomy | ||||
| City | CROSS LANES |
| Zip Code | 25313 |
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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.