MARK P MOGEN


Address: 105 S State St, Suite 113, Aberdeen, SD 57401-4500
Phone: 6052250378

MARK P MOGEN (NPI# 1578567319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578567319
Entity Type Individual
Full Name MARK P MOGEN
Credential MD
Practice Address 105 S State St
Suite 113
Aberdeen
SD 57401-4500
Mailing Address Po Box 1460
Aberdeen
SD 57402-1460
Practice Telephone 6052250378
Practice Fax Number 6052257919
Mailing Telephone 6052250378
Mailing Fax Number 6052257919
Enumeration Date 2005-06-09
Last Update Date 2009-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 1379 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD 5603474 05
ND 1379 05
SD 5603473 05

Office Location

Street Address 105 S STATE ST
SUITE 113
City ABERDEEN
State SD
Zip Code 57401-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316563141 Danita Hoffman Pharmacist 105 S State St, Aberdeen, SD 57401-4501 2020-06-17
1487000709 Kristin Sue Vanbuskirk Nurse Practitioner 105 S State St, Suite 113, Aberdeen, SD 57401-4501 2016-05-05
1790160570 Jessica A Bierschbach Nurse Practitioner 105 S State St, Suite 113, Aberdeen, SD 57401-4501 2015-07-22
1629345723 Oleksandr Kachanov Pediatrics 105 S State St, Ste 113, Aberdeen, SD 57401-4501 2011-11-17
1437271301 Aberdeen Family Physicians Clinical Medical Laboratory 105 S State St, Suite 113, Aberdeen, SD 57401-4500 2007-04-04
1912077249 Shawn David Bartel Internal Medicine 105 S State St, Ste 113, Aberdeen, SD 57401-4501 2006-11-08
1407935901 Cynthia Jane Pallesen Nurse Practitioner 105 S State St, Ste 113, Aberdeen, SD 57401-4501 2006-11-03
1083703037 Aberdeen Medical Center Pharmacy, Inc Pharmacy 105 S State St, Suite 111, Aberdeen, SD 57401-4500 2006-10-11
1215905518 Michael J Knapp Family Medicine 105 S State St, Suite 113, Aberdeen, SD 57401-4500 2006-03-10
1235102351 Nancy Ann Rude Physician Assistant 105 S State St, Ste 113, Aberdeen, SD 57401-4501 2006-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679002950 Brenda Lee Pence Registered Nurse 305 S. State St., Aberdeen, SD 57401 2017-06-08
1104366475 Jordan Shangreaux Specialist/Technologist 2200 S Roosevelt St, Aberdeen, SD 57401 2017-03-06
1205387545 Midwest Medical Transport Company, LLC-aberdeen, Sd Ambulance 2919 Industrial Avenue, Aberdeen, SD 57401 2016-10-21
1356752471 Cameron Eichler Enterprises Hearing Aid Equipment 110 6th Ave Se Ste 106, Aberdeen, SD 57401 2014-05-12
1184059412 Richard Allen Ward IIi Hearing Instrument Specialist 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 2013-09-05
1427395540 Matthew William Svensen Physical Therapist 1109 S Jay St, Aberdeen, SD 57401 2013-01-09
1750655940 Robert Ashly Froke Audiologist 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 2012-03-06
1457504862 Rodney S Johnson Counselor 14 S Main St Ste 1e, Aberdeen, SD 57401 2008-10-29
1518115005 Dakota Chiropractic of Aberdeen, PC Chiropractor 520 Moccasin Drive, Aberdeen, SD 57401 2008-09-09
1558554626 Tiffany Zimmerman Hoeft Speech-Language Pathologist 39515 Pintail Ave, Aberdeen, SD 57401 2007-08-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851883540 Modern Day Health Care Prof LLC Family Medicine 125 Railroad Ave Se, Aberdeen, SD 57401-4202 2018-05-30
1639597370 Jason Li Family Medicine 17 Beacon Ln, Aberdeen, NJ 07747-2301 2014-03-31
1154695344 Urgent Cares of America North Carolina Inc. Family Medicine 1800 N Sandhills Blvd, Aberdeen, NC 28315-2336 2012-03-06
1184919151 Oluwakemi Ajide Family Medicine 1013 Beards Hill Rd, Suite 103, Aberdeen, MD 21001-2293 2011-06-17
1316237092 Rose Mary Hatem Bonsack Family Medicine 205 Hemlock La., Aberdeen, MD 21001 2011-04-14
1013143296 Avera St. Luke's Family Medicine 105 S State St Ste 113, Aberdeen, SD 57401-4502 2009-06-02
1205992153 Woodie Darnell Herron Family Medicine 200 East Commerce Street, Aberdeen, MS 39730 2006-12-28
1891855847 Hope Family Center PC Family Medicine 210 Magnolia Square Ct, Aberdeen, NC 28315 2006-12-11
1992732168 Charles D Adams Family Medicine 1813 Sumner St, Aberdeen, WA 98520 2006-06-26
1154364636 Kevin Curtis Hayes Family Medicine 504 S Chestnut St, Aberdeen, MS 39730-3337 2006-06-13
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Competitor

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City ABERDEEN
Zip Code 57401

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Dataset Information

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.

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