DR. PHILLIP GLENN MARKS (NPI# 1720173420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720173420 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP GLENN MARKS |
| Credential | M.D. |
| Practice Address |
106 W Medical Park Dr Suite A Lexington NC 27292-6853 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3362484413 |
| Practice Fax Number | 3362486260 |
| Mailing Telephone | 3362484413 |
| Mailing Fax Number | 3362486260 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 39444 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8953944 | 05 | |
| NC | PSC MEDICARE PROVIDER # | 2150804C | 01 |
| NC | RAILROAD MEDICARE | P00064804 | 01 |
| NC | BLUE CROSS/BLUE SHIELD-NC | 53944 | 01 |
| Street Address |
106 W MEDICAL PARK DR SUITE A |
| City | LEXINGTON |
| State | NC |
| Zip Code | 27292-6853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600314 | James Franklin Black | Specialist | 106 W Medical Park Dr, Suite B, Lexington, NC 27292-6853 | 2005-12-20 |
| 1134409378 | Lexmedical, Inc. | Otolaryngology | 106 W Medical Park Dr, Suite C, Lexington, NC 27292-6853 | 2011-08-19 |
| 1710203336 | Lexmedical, Inc | Otolaryngology | 106 W Medical Park Dr, Suite C, Lexington, NC 27292-6853 | 2010-04-08 |
| 1043440951 | Melissa Loftin Johnson | Nurse Practitioner | 106 W Medical Park Dr, Suite A, Lexington, NC 27292-6853 | 2009-07-27 |
| 1679708432 | Lexmedical, Inc. | Obstetrics & Gynecology | 106 W Medical Park Dr, B, Lexington, NC 27292-6853 | 2009-05-22 |
| 1831367150 | Forsyth Medical Group, LLC | Urology | 106 W Medical Park Dr, Suite A, Lexington, NC 27292-6854 | 2008-02-20 |
| 1154504181 | David Brandon Chapman | Otolaryngology | 106 W Medical Park Dr, Suite C, Lexington, NC 27292-6853 | 2007-12-13 |
| 1619065620 | Davidson Urology, Pa | Urology | 106 W Medical Park Dr, Suite A, Lexington, NC 27292-6853 | 2006-10-11 |
| 1447345616 | Triad Ent Pa | Specialist | 106 W Medical Park Dr, Suite C, Lexington, NC 27292-6853 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1427306570 | Lisa Anne Kearns | Pharmacist | 880 Ervin Dr, Lexington, NC 27292 | 2012-08-21 |
| 1669756979 | Beth A Burns | Counselor | 19 E 2nd Ave Ste C, Lexington, NC 27292 | 2011-10-05 |
| 1629256185 | Holly Ann Clark | Counselor | 220 E First Ave Extension, Lexington, NC 27292 | 2008-02-07 |
| 1861675357 | High Rock Internal Medicine, Pa | Internal Medicine | 104 W. Medical Park Dr., Lexington, NC 27292 | 2007-12-07 |
| 1225229214 | Beatriz R. Aguero, Dds & Associates Iv, Pa | Dentist | 230 Lowes Blvd, Leexington, NC 27292 | 2007-08-06 |
| Find all providers in zip 27292 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124559190 | Nadia Gabriela Romero | Urology | 800 Rose St Rm Mn-283, Lexington, KY 40536 | 2017-03-22 |
| 1922397033 | Alison Marie Rasper | Urology | Uk Urology 740 S Limestone Ste B200, Lexington, KY 40536-1522 | 2011-03-30 |
| 1699084731 | Lexington Unique Care Inc | Urology | 2628 Wilhite Dr, Lexington, KY 40503 | 2010-10-06 |
| 1659691053 | Ali Mahmoud Ziada | Urology | Urology Univ of Ky Med Ctr 800 Rose St, Room Ms 237, Lexington, KY 40536-0298 | 2010-06-08 |
| 1679744817 | Katie Ballert | Urology | 800 Rose St # Ms 269, Lexington, KY 40536-0298 | 2008-03-16 |
| 1932328259 | Alexandre W. Caillat | Urology | 106 W Medical Park Dr Ste A, Lexington, NC 27292-6854 | 2007-04-25 |
| 1730284597 | Carolyn V Smith | Urology | 2285 Executive Drive, Suite 100, Lexington, KY 40505 | 2006-09-14 |
| 1619930468 | Deborah R Erickson | Urology | 800 Rose Street, Room M S 283, Urology Division, University of Kentucky Hospital, Lexington, KY 40536-0001 | 2006-04-11 |
| 1073592796 | Claiborne Gooch Whitworth Iv | Urology | 100 Spotswood Dr, Lexington, VA 24450-2454 | 2006-01-11 |
| 1396728358 | John P Tuttle Jr. | Urology | 160 N Eagle Creek, Ste 301, Lexington, KY 40509 | 2005-11-23 |
| Find all providers in LEXINGTON | ||||
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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.