MR. MARK S. HAMMAR (NPI# 1609998731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609998731 |
| Entity Type | Individual |
| Full Name | MR. MARK S. HAMMAR |
| Credential | PA-C |
| Practice Address |
36 Professional Plz Suite 202 Rexburg ID 83440-2049 |
| Practice Telephone | 2086568868 |
| Practice Fax Number | 2086568440 |
| Mailing Telephone | 2086568868 |
| Mailing Fax Number | 2086568440 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-734 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36 PROFESSIONAL PLZ SUITE 202 |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700822491 | Rodney Bates Jr. | Internal Medicine | 36 Professional Plz, Rexburg, ID 83440-2049 | 2006-06-21 |
| 1538663927 | Tiffany L Love | Counselor | 36 Professional Plz, Rexburg, ID 83440 | 2018-03-20 |
| 1316484983 | Mhd Therapies, Pllc | Occupational Therapist | 36 Professional Plz, Ste 110, Rexburg, ID 83440-2049 | 2017-01-20 |
| 1760831549 | Tyler Harrigfeld | Physical Therapist | 36 Professional Plz, Rexburg, ID 83440-2049 | 2016-06-13 |
| 1114297660 | Janiel J Green | Physician Assistant | 36 Professional Plz, Suite #102, Rexburg, ID 83440-2049 | 2011-12-30 |
| 1558662064 | Linda R Webster | Nurse Practitioner | 36 Professional Plz, Rexburg, ID 83440-2049 | 2010-11-15 |
| 1518196021 | Jason Ern Hymas | Pediatrics | 36 Professional Plz, Suite 202, Rexburg, ID 83440-2049 | 2009-07-06 |
| 1578714770 | Generations Women's Clinic, Pllc | Obstetrics & Gynecology | 36 Professional Plz, Rexburg, ID 83440-2049 | 2008-10-06 |
| 1215108766 | Andrew Summers Dds, Ms, PC | Dentist | 36 Professional Plz, Suite 200, Rexburg, ID 83440-2049 | 2008-03-12 |
| 1033394713 | Northridge Internal Medicine, Pllc | Internal Medicine | 36 Professional Plz, Ste-102, Rexburg, ID 83440-2049 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629247093 | Fall Creek Skin and Health Pllc | Physician Assistant | 534 Trejo St Ste 400, Rexburg, ID 83440 | 2008-02-29 |
| 1932254133 | Brett Gerald Bagley | Physician Assistant | 556 Trejo St, Suite B, Rexburg, ID 83440 | 2007-01-25 |
| 1760533400 | Dallin Brim Gambles | Physician Assistant | 380 Walker Dr, Rexburg, ID 83440-1657 | 2007-01-16 |
| 1780691394 | Christina Goodman | Physician Assistant | 100 Student Health Center Building, Rexburg, ID 83440 | 2006-08-03 |
| 1184122756 | Steven Craig Pierce | Physician Assistant | 450 E Main St, Rexburg, ID 83440-2048 | 2018-01-29 |
| 1114297660 | Janiel J Green | Physician Assistant | 36 Professional Plz, Suite #102, Rexburg, ID 83440-2049 | 2011-12-30 |
| 1780965038 | Rex Allen Meredith | Physician Assistant | 37 S 2nd E, Rexburg, ID 83440-1906 | 2011-08-31 |
| 1972770881 | Greg Lyle Klingler | Physician Assistant | 32 W 1st S, Rexburg, ID 83440-1810 | 2008-05-09 |
| 1447296785 | Zachery M Brunson | Physician Assistant | 393 E 2nd N, Rexburg, ID 83440 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217911 | David Jeffrey Hanson | Physician Assistant | 740 Mckinley Ave Ste 100, Kellogg, ID 83837-2693 | 2019-10-18 |
| 1871060681 | Travis Henman | Physician Assistant | 1404 Pomerelle Ave Ste 150, Burley, ID 83318-2012 | 2018-10-30 |
| 1952889685 | Cody Mattingly | Physician Assistant | 14601 S Pleasant Valley Rd, Kuna, ID 83634-2728 | 2018-08-03 |
| 1992174072 | Alexa Rhea | Physician Assistant | 2841 Juniper Dr Ste 2, Lewiston, ID 83501-4719 | 2015-09-18 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1407223274 | Michael Kenneth Wucinich | Physician Assistant | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2015-08-28 |
| 1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1447652813 | Jessea Camille Whitlow | Physician Assistant | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2014-09-17 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. MARK S. HAMMAR.
| 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.