MR. MARK EDWARD COUCH (NPI# 1770641953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770641953 |
| Entity Type | Individual |
| Full Name | MR. MARK EDWARD COUCH |
| Credential | FNP-C |
| Practice Address |
34 Upper Riverdale Rd Se Suite 100a Riverdale GA 30274-2635 |
| Practice Telephone | 7709077222 |
| Mailing Telephone | 7709077222 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN124073 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548224314 | Mark A. Couch | Family Medicine | 235 W. National Rd, Vandalia, OH 45377 | 2006-04-17 |
| Street Address |
34 UPPER RIVERDALE RD SE SUITE 100A |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192236 | Satyanarayan K Reddy | Internal Medicine | 34 Upper Riverdale Rd Se, Ste 200, Riverdale, GA 30274-2620 | 2005-05-31 |
| 1326258054 | Peter K Lee Md PC | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 100a, Riverdale, GA 30274-2635 | 2007-05-23 |
| 1669533568 | Atlanta South Endoscopy Center LLC | Clinic/Center | 34 Upper Riverdale Rd Se, Suite 201, Riverdale, GA 30274-2635 | 2006-12-13 |
| 1114085941 | Andre St. Clair Stuart | Family Medicine | 34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274-2635 | 2006-12-05 |
| 1871675470 | Southern Regional Accident & Injury Inc. | Chiropractor | 34 Upper Riverdale Rd Se, Suite 100d, Riverdale, GA 30274-2635 | 2006-10-20 |
| 1023104379 | New Hope Urgent Care of Clayton | Clinic/Center | 34 Upper Riverdale Rd Se, Suite 100-h, Riverdale, GA 30274-2635 | 2006-10-05 |
| 1780629519 | Akinwole A Awujo | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-17 |
| 1619919750 | Sanjay Raj Jain | Internal Medicine | 34 Upper Riverdale Rd Se, Suite 200, Riverdale, GA 30274-2635 | 2006-06-12 |
| 1912900937 | Palamalai Mahizhnan | Internal Medicine | 34 Upper Riverdale Rd Se, Ste 200, Riverdale, GA 30274-2620 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908816 | Katherine Dover-payne | Nurse Practitioner | 661 W 138th St, Riverdale, IL 60827-1660 | 2020-10-05 |
| 1508476847 | Deann Marie Mcclellan | Nurse Practitioner | 22625 130th Rd, Riverdale, NE 68870-7105 | 2020-08-02 |
| 1255949574 | Hawana Lewis | Nurse Practitioner | 1527 Wynthrope Cv, Riverdale, GA 30274-5148 | 2020-07-22 |
| 1619506532 | Tanyetta Michelle Brown | Nurse Practitioner | 2802 Topaz Rd, Riverdale, GA 30296-1699 | 2020-04-02 |
| 1821622770 | Risa Rowley | Nurse Practitioner | 4260 S 950 W, Riverdale, UT 84405-3454 | 2020-03-01 |
| 1356992796 | Lindsay Patricia Peluso | Nurse Practitioner | 253 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274-4945 | 2019-09-26 |
| 1205308285 | Saritha Sudharsun | Nurse Practitioner | 6516 Rosalie Ln, Riverdale, MD 20737-1785 | 2019-01-01 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1861991408 | Gexin Wang | Nurse Practitioner | 5506 Kenilworth Ave Ste A, Riverdale, MD 20737-3115 | 2018-02-09 |
| 1063947091 | Shibana Elder Cutter | Nurse Practitioner | 2798 Topaz Rd, Riverdale, GA 30296-6015 | 2017-04-27 |
| Find all providers in RIVERDALE | ||||
Please comment or provide details below to improve the information on MR. MARK EDWARD COUCH.
| 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.