DR. MARK JOSEPH METZGER SR. (NPI# 1699773176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699773176 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH METZGER SR. |
| Credential | DPM |
| Practice Address |
7138 Lake Worth Rd Suite C Lake Worth FL 33467-2970 |
| Mailing Address |
3500 Princeton Dr Wellington FL 33414-9353 |
| Practice Telephone | 5619396325 |
| Practice Fax Number | 5618990460 |
| Mailing Telephone | 5619396325 |
| Mailing Fax Number | 5618990460 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO-0002641 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
PO-0002641 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PO-0002641 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO-0002641 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO-0002641 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340097200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710067780 | Mark Metzger | Occupational Therapy Assistant | 326 Orchard Park Rd, West Seneca, NY 14224-2635 | 2006-10-16 |
| 1417963414 | Mark Metzger | Psychologist | 5110 12th Ave, Brooklyn, NY 11219-3424 | 2006-07-31 |
| 1689653412 | Mark S Metzger | Specialist | 10000 Se Main St, Ste 327, Portland, OR 97216-2448 | 2006-01-11 |
| Street Address |
7138 LAKE WORTH RD SUITE C |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518210814 | Kenneth S. Jaffe, M.d., P.a. | Internal Medicine | 7138 Lake Worth Rd, Lake Worth, FL 33467-2970 | 2012-10-24 |
| 1669470795 | Merrill Wayne Reuter | Specialist | 7138 Lake Worth Rd, Suite C, Lake Worth, FL 33467-2970 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757934 | Mary Caroline Stancukas | Podiatrist | 6076 Azle Ave Ste 200, Lake Worth, TX 76135-2627 | 2014-07-03 |
| 1932356789 | Russell Pendleton | Podiatrist | 6312 Azle Ave, Lake Worth, TX 76135-2442 | 2008-08-23 |
| 1295926301 | Karl H. Michel | Podiatrist | 4615 Capital Dr, Lake Worth, FL 33463-8184 | 2007-08-05 |
| 1992770994 | Edward J Sperling | Podiatrist | 9621 Bergamo St, Lake Worth, FL 33467-6168 | 2006-02-22 |
| 1568783553 | Advanced Foot and Ankle Associates | Podiatrist | 6312 Azle Ave, Lake Worth, TX 76135-2442 | 2010-06-14 |
| 1902012065 | Kevin H Lapoff, Dpm | Podiatrist | 6422 Lake Worth Rd, Lake Worth, FL 33463-3008 | 2007-05-15 |
| 1235246265 | Richard H. Lewis | Podiatrist | 4175 S Congress Ave, Suite D, Lake Worth, FL 33461-4725 | 2006-08-24 |
| 1063447522 | Saul Lipsman | Podiatrist | 6894 Lake Worth Rd, Suite #102, Lake Worth, FL 33467 | 2006-07-12 |
| 1366475709 | Saul Lipsman Dpm Mdpa | Podiatrist | 6894 Lake Worth Rd, Suite 102, Lake Worth, FL 33467 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
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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.