MARK COLLINSWORTH (NPI# 1740772110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740772110 |
| Entity Type | Individual |
| Full Name | MARK COLLINSWORTH |
| Credential | RDH |
| Practice Address |
160 Main St Penn Yan NY 14527-1204 |
| Mailing Address |
601b W Washington St Geneva NY 14456-2119 |
| Practice Telephone | 3155319102 |
| Mailing Telephone | 3157878151 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 017629 | NY | Dental Providers |
| Street Address |
160 MAIN ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869199 | Mary D. Driesch | Family Medicine | 160 Main St, Penn Yan, NY 14527-1204 | 2005-05-27 |
| 1871935742 | Taurus Alonze Farrow | Dentist | 160 Main St, Penn Yan, NY 14527-1204 | 2013-07-22 |
| 1104154111 | Ross Spencer Phippen Jr. | Dentist | 160 Main St, Penn Yan, NY 14527-1204 | 2009-12-02 |
| 1265533251 | Teresa A Hoover | Registered Nurse | 160 Main St, Penn Yan, NY 14527-1204 | 2006-09-25 |
| 1548367519 | Yates Family Planning Services, Inc. | Nurse Practitioner | 160 Main St, Penn Yan, NY 14527-1204 | 2006-09-20 |
| 1588628622 | Darlene D Brezinsky | Nurse Practitioner | 160 Main St, Penn Yan, NY 14527-1204 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767280 | Saray A Guzman-pernett | Dental Hygienist | 370 Lexington Ave Fl 26, New York, NY 10017-6573 | 2020-10-14 |
| 1508464389 | Teah Lee Griffith | Dental Hygienist | 1182 County Route 24, Gouverneur, NY 13642-3330 | 2020-10-13 |
| 1629675574 | Sheila M Marsh | Dental Hygienist | 37 Boynton Ave Ste 2, Plattsburgh, NY 12901-1268 | 2020-10-05 |
| 1558978478 | Natalia Itxel Plaza | Dental Hygienist | 223 22nd St Fl 1, Brooklyn, NY 11232-1303 | 2020-09-24 |
| 1386250108 | Maxine Mills | Dental Hygienist | 71 Maler Ln, Patchogue, NY 11772-3558 | 2020-09-17 |
| 1780295592 | Samantha Leggiadro | Dental Hygienist | 606 Hosta Cir, Webster, NY 14580-4066 | 2020-08-14 |
| 1609487438 | Taylor Emily Bonno | Dental Hygienist | 15324 Lovers Ln, Clayton, NY 13624-3110 | 2020-08-14 |
| 1407466071 | Ellen Norma Denise Gill | Dental Hygienist | 41277 County Route 15, Theresa, NY 13691-2028 | 2020-08-07 |
| 1619595709 | Marialys Fernandez | Dental Hygienist | 25 W 18th St Fl 4, New York, NY 10011-4676 | 2020-07-06 |
| 1285271775 | Elizabeth Marie Dooher-anthony | Dental Hygienist | 490 Falstaff Rd, Rochester, NY 14609-5551 | 2019-12-04 |
| 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.