MR. MARK ADAM WOOD III (NPI# 1770870214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770870214 |
| Entity Type | Individual |
| Full Name | MR. MARK ADAM WOOD III |
| Practice Address |
15723 Parkhouse Dr Unit 7 Fontana CA 92336-6516 |
| Practice Telephone | 5592703534 |
| Mailing Telephone | 5592703534 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558671065 | Mark Christopher Wood | Dentist | 1000 W Carson St # 19, Torrance, CA 90502-2004 | 2010-10-18 |
| 1639260953 | Mark A Wood | Chiropractor | 506 E Broad St, Raymond, IL 62560-5202 | 2006-09-28 |
| 1760589733 | Mark W. Wood | Otolaryngology | 3824 S Boulevard Ste 160, Edmond, OK 73013 | 2006-09-20 |
| 1427152958 | Mark Gregory Wood | Internal Medicine | 106 Oak St, Thomasville, GA 31792 | 2006-09-13 |
| 1992703102 | Mark David Wood | Dentist | 1200 W South Boulder Rd, Suite 103, Lafayette, CO 80026-3546 | 2005-07-12 |
| 1083004469 | Mark Wood | Pharmacist | 601 N Milwaukee St, Waterford, WI 53185-4405 | 2015-01-23 |
| 1770676090 | Mark S Wood | General Practice | 598 W 11th Ave, Lumberton, MS 39455 | 2006-09-30 |
| 1871504761 | Mark Wood | Dentist | 162 Croton Ave, Ossining, NY 10562-4430 | 2006-08-10 |
| 1578570529 | Mark Goff Wood | Ophthalmology | 7075 N Sharon Ave, Fresno, CA 93720-3329 | 2006-08-02 |
| 1134172372 | Mark Lyndon Wood | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610 | 2006-05-18 |
| Street Address |
15723 PARKHOUSE DR UNIT 7 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386828036 | Wanisha Karlette Ashley | Rehabilitation Practitioner | 6015 Forest Oaks Pl., Fontana, CA 92336 | 2007-12-18 |
| 1538344163 | Socorro Hernandez-allen | Rehabilitation Practitioner | 17216 Slover Ave, Fontana, CA 92337-7580 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
| 1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
| 1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
| 1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
| 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.