MARK C WEBSTER (NPI# 1588640296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588640296 |
| Entity Type | Individual |
| Full Name | MARK C WEBSTER |
| Credential | MD |
| Practice Address |
114 S Shore Rd Old Forge NY 13420-3500 |
| Mailing Address |
Po Box 207 Old Forge NY 13420-0207 |
| Practice Telephone | 3153696619 |
| Practice Fax Number | 3153696533 |
| Mailing Telephone | 3153696619 |
| Mailing Fax Number | 3153696533 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 124353 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GHI | 0075950 | 01 |
| NY | RAILROAD MEDICARE | 441081441 | 01 |
| NY | 00552974 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534073 | Mark E Webster | Family Medicine | 211 S Volusia Ave, Orange City, FL 32763-5839 | 2006-06-09 |
| 1578985693 | Mark Anthony Webster | Specialist | 1601 Brenner Ave, Salisbury, NC 28144 | 2014-01-08 |
| 1447520846 | Mark Scott Webster | Pharmacist | 18910 Us Highway 441, Mount Dora, FL 32757-6736 | 2012-01-03 |
| 1952581944 | Mark D Webster | Physician Assistant | 215 S Allison Ave, Xenia, OH 45385-3694 | 2007-11-07 |
| 1609992130 | Mark G Webster | Dentist | 205 Main Street, No Reading, MA 01864 | 2007-03-22 |
| 1467550160 | Mark J Webster | Dentist | 415 N Main St, Suite 304, Cedar City, UT 84720-2623 | 2006-09-20 |
| 1588616999 | Mark D Webster | Orthopaedic Surgery | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2006-05-16 |
| Street Address |
114 S SHORE RD |
| City | OLD FORGE |
| State | NY |
| Zip Code | 13420-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679770523 | Anthony R Lister | Dentist | 114 S Shore Rd, Old Forge, NY 13420-7786 | 2007-07-02 |
| 1487630190 | Thomas J Socash | Family Medicine | 114 S Shore Rd, Old Forge, NY 13420-3500 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164715397 | Emir Hodzic | Family Medicine | 114 South Shore Road, Old Forge, NY 13420 | 2011-05-20 |
| 1467750802 | Megan Tara Heeder-megan | Counselor | 3002 Main St, Old Forge, NY 13420 | 2011-03-09 |
| 1003041377 | Stanley Bloom | Urology | 138 Goodell Rd, Old Forge, NY 13420 | 2009-05-15 |
| 1407006182 | Danielle Ann Beckingham | Registered Nurse | 107 Tamarack Dr., Old Forge, NY 13420 | 2008-09-30 |
| 1619127305 | Kelly E. Hamlin | Dietitian, Registered | 114 Middle Branch Rd, Old Forge, NY 13420 | 2008-09-30 |
| 1265697007 | Katherine Boesche | Registered Nurse | 197 Mohawk Rd, Old Forge, NY 13420 | 2008-07-22 |
| 1336325695 | Deborah Brosemer | Pharmacist | 2964 State Route 28, Old Forge, NY 13420 | 2008-01-17 |
| 1558567370 | Old Forge Volunteer Ambulance Corps, Inc | Ambulance | 116 Fulton Street, Old Forge, NY 13420 | 2007-06-27 |
| 1780758276 | Joseph C Rintrona | Dentist | 114 S Shore Road, Tow Prof Bldg, Old Forge, NY 13420 | 2006-11-17 |
| 1518074798 | Kph Healthcare Services, Inc. | Pharmacy | 2964 State Rt 28, Old Forge, NY 13420 | 2006-08-24 |
| Find all providers in zip 13420 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134536519 | Geisinger Clinic | Family Medicine | 939 Moosic Road, Old Forge, PA 18518 | 2014-07-17 |
| 1164715397 | Emir Hodzic | Family Medicine | 114 South Shore Road, Old Forge, NY 13420 | 2011-05-20 |
| 1306914627 | Central Adirondack Family Practice | Family Medicine | 114 South Shore Rd., Old Forge, NY 13420-0207 | 2006-12-04 |
| 1356458574 | Darlene Ann Dunay | Family Medicine | 314 Oak St, Old Forge, PA 18518-1619 | 2006-08-24 |
| 1326289836 | Kathryn Ann Sallavanti | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2009-03-12 |
| 1033326772 | Dana Marie Montgomery | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2007-05-16 |
| 1124059464 | Jihad Charabati | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2006-07-05 |
| 1982672523 | Armando R Sallavanti | Family Medicine | 315 S Main St, Old Forge, PA 18518-1606 | 2006-03-09 |
| 1487630190 | Thomas J Socash | Family Medicine | 114 S Shore Rd, Old Forge, NY 13420-3500 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.