DR. MARK DAVID MUSTIN (NPI# 1760444004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760444004 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID MUSTIN |
| Credential | D.C. |
| Practice Address |
4425 W Ridge Rd Erie PA 16506-1486 |
| Practice Telephone | 8148337282 |
| Practice Fax Number | 8148388462 |
| Mailing Telephone | 8148337282 |
| Mailing Fax Number | 8148388462 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2852-L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BC/BS | 001493954 | 01 |
| PA | PALMETTO RR MEDICARE | 350010696 | 01 |
| Street Address |
4425 W RIDGE RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831304 | Tori Elizabeth Niggel | Chiropractor | 2501 Palermo Dr Ste C, Erie, PA 16506-7210 | 2019-09-25 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1194385336 | Joshua Conrad Briggs | Chiropractor | 2700 W 21st St Ste 8, Erie, PA 16506-6916 | 2019-06-19 |
| 1689230815 | Amelia Marie Gray | Chiropractor | 4864 Buffalo Rd, Erie, PA 16510-2394 | 2019-05-13 |
| 1356844807 | Koziarski Chiropractic, LLC | Chiropractor | 1535 W 8th St Ste A-5, Erie, PA 16505-5005 | 2018-03-12 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1770956575 | Pleasantview Chiropractic, LLC | Chiropractor | 715 E 37th St, Erie, PA 16504-1727 | 2015-11-03 |
| 1811309610 | Dr. Jason Cardinali | Chiropractor | 100 Pennbriar Dr, Erie, PA 16509-6610 | 2014-05-28 |
| 1316296015 | Joint Chiropractic, LLC | Chiropractor | 152 W 12th St, Erie, PA 16501-1725 | 2012-09-10 |
| 1881962009 | Justin K. Cole | Chiropractor | 515 Briggs St, Suite A, Erie, CO 80516-0196 | 2011-12-02 |
| Find all providers in ERIE | ||||
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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.