DR. MARK PETERS (NPI# 1710598834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710598834 |
| Entity Type | Individual |
| Full Name | DR. MARK PETERS |
| Credential | MD |
| Practice Address |
14685 Hansberry Rd Rockton IL 61072-9752 |
| Practice Telephone | 8155402681 |
| Mailing Telephone | 8155402681 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
036109234 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013293216 | Mark Aaron Peters | Specialist/Technologist | 13730 Narrowleaf Dr, Colorado Springs, CO 80921-7601 | 2011-11-01 |
| 1013064849 | Mark S Peters | Physician Assistant | 534 Biltmore Avenue, Asheville, NC 28801-4612 | 2007-01-04 |
| 1437620796 | Mark Joseph Peters | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5187 | 2018-12-16 |
| 1346551025 | Mark B Peters | Counselor | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2010-06-28 |
| 1619166519 | Mark J Peters | Family Medicine | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2007-10-17 |
| 1902096738 | Mark S Peters | Dietitian, Registered | 211 S 3rd St, Belleville, IL 62220-1915 | 2007-07-27 |
| 1386841591 | Mark Dewitt Peters | Pharmacist | 1600 N 2nd St, Clinton, MO 64735-1192 | 2007-06-29 |
| 1497968796 | Mark Phillip Peters | Dentist | 2040 N Loop 336 W, Ste 207, Conroe, TX 77304-3500 | 2007-05-07 |
| 1922142645 | Mark L Peters | Ophthalmology | 11245 Huron St, Westminster, CO 80234-2806 | 2007-02-16 |
| 1366554784 | Mark M Peters | Psychologist | 900 Bryan St, Suite 5, Huntingdon, PA 16652-2413 | 2006-08-31 |
| Street Address |
14685 HANSBERRY RD |
| City | ROCKTON |
| State | IL |
| Zip Code | 61072-9752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822649 | Brianna Helene Jensen | Specialist/Technologist | 11746 Deacon Dr, Rockton, IL 61072 | 2017-03-13 |
| 1891085767 | James Adrian Fogarty | Psychologist | 122 S. Prairie St. Suite A, Rockton, IL 61072 | 2011-04-13 |
| 1871623447 | Wal-mart Stores, Inc Dba Wal-mart | Technician/Technologist | 4781 E. Rockton Rd., Rockton, IL 61072 | 2007-03-06 |
| 1215070487 | Shelly L Patchett | Social Worker | 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2007-02-15 |
| 1245301472 | Brandi M Lander | Counselor | 1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2006-11-10 |
| 1033551320 | Stateline Counseling Services LLC | Social Worker | 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2013-07-26 |
| 1811987886 | Vasil Nika | Family Medicine | 1511 N Blackhawk Blvd, University Primary Care Clinic @ Rockton, Rockton, IL 61072-1513 | 2005-10-21 |
| 1245747971 | Nicole Atanasoff | Nurse Practitioner | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2018-01-03 |
| 1588964712 | Carole J Eatock | Nurse Practitioner | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2010-10-21 |
| 1952348831 | Board of Trustees of The University of Illinois | Family Medicine | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2006-06-01 |
| Find all providers in zip 61072 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014189 | Marissa Laurette Feeney | Pathology | 692 E 1700 Ave, Vandalia, IL 62471-4028 | 2019-10-16 |
| 1568890440 | John Scott Denton | Pathology | 2708 Piney Run, Bloomington, IL 61705-6457 | 2013-10-31 |
| 1407195639 | Manuel Raul Montez | Pathology | 1261 Oak Knoll Dr, Lake Forest, IL 60045-3665 | 2013-02-07 |
| 1124390976 | Jeffery Harold Harkey | Pathology | 414 N County Farm Rd, Wheaton, IL 60187-3908 | 2012-02-08 |
| 1144473513 | Michel Humilier | Pathology | 2121 W Harrison St, Chicago, IL 60612-3705 | 2008-10-29 |
| 1093976169 | Amanda Youmans | Pathology | 506 E Seneca Pl, Peoria, IL 61603 | 2008-06-21 |
| 1831361617 | Bruce P Levy | Pathology | 840 South Wood Street, 130 Csn, Uic Department of Pathology (mc847), Chicago, IL 60612 | 2008-04-01 |
| 1588124960 | Ponni Arunkumar | Pathology | 2121 W Harrison St, Chicago, IL 60612-3705 | 2019-03-22 |
| 1528464823 | Reema Khan | Pathology | 2121 W Harrison St, Chicago, IL 60612-3705 | 2014-11-13 |
| 1265667216 | Steven M. White | Pathology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2009-05-20 |
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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.