MARK A HERNDON (NPI# 1790118289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790118289 |
| Entity Type | Individual |
| Full Name | MARK A HERNDON |
| Credential | CPED |
| Practice Address |
3845 Hendersonville Rd Fletcher NC 28732-8241 |
| Practice Telephone | 8286841644 |
| Practice Fax Number | 8286840648 |
| Mailing Telephone | 8286841644 |
| Mailing Fax Number | 8286840648 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285751107 | Mark David Herndon | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2007-03-24 |
| Street Address |
3845 HENDERSONVILLE RD |
| City | FLETCHER |
| State | NC |
| Zip Code | 28732-8241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919206 | Skyland Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2005-08-16 |
| 1376173286 | Robert Kaler | Orthotist | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2020-01-20 |
| 1194224808 | Johnsie Salyers | Mastectomy Fitter | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2018-02-08 |
| 1184166472 | Christian Clay Ashley | Orthotic Fitter | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2016-11-17 |
| 1609209196 | William P Wright | Prosthetist | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2013-08-20 |
| 1730488719 | Jason W Siegler | Orthotist | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2011-03-16 |
| 1326367624 | Bradley Schepers | Orthotist | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2010-05-26 |
| 1043442957 | Angella B Polson | Mastectomy Fitter | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2009-08-12 |
| 1396983300 | Seth Michael Reynolds | Orthotist | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2009-01-29 |
| 1073641734 | Linda G Branch | Orthotic Fitter | 3845 Hendersonville Rd, Fletcher, NC 28732-8241 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689198772 | Recovery On The Ridge LLC | Substance Abuse Rehabilitation Facility | 2145 Cane Creek Rd., Fletcher, NC 28732 | 2017-07-31 |
| 1790227643 | John Michael Lim Tamaray | Physical Therapist | 212 Riverbirch Drive, Fletcher, NC 28732 | 2016-11-09 |
| 1164891479 | Christina Leigh Murray | Pharmacist | 108 Cottage Ridge Road, Fletcher, NC 28732 | 2015-09-16 |
| 1801208103 | Sciteck Clinical Laboratories Inc | Clinical Medical Laboratory | 317 Rutledge Road, Fletcher, NC 28732 | 2014-05-21 |
| 1073881371 | Steve Worley Enterprises LLC Dba Comfort Keepers of Asheville | Home Health | 450 Airport Rd, Fletcher, NC 28732 | 2011-12-01 |
| 1699051995 | Jsa Associates, Inc | Home Health | 103 Underwood Rd, Suite J, Fletcher, NC 28732 | 2011-10-31 |
| 1275708703 | W Raymond Chavez | Chiropractor | 845 Howard Gap Road, Fletcher, NC 28732 | 2008-04-25 |
| 1346456704 | Edith Leona Herzel | Physical Therapist | 13 Gun Flint Tr, Fletcher No 2, Fletcher, NC 28732 | 2007-05-15 |
| 1407078397 | Stacy Ann Small | Speech-Language Pathologist | 4020 Hendersonville Road Ste. B, Fletcher, NC 28732 | 2007-05-02 |
| 1710011549 | Kari Alford Williams | Dentist | 3272 Hendersonville Rd., Suite A, Fletcher, NC 28732 | 2007-03-15 |
| Find all providers in zip 28732 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694704 | John Savel Deguzman | Pedorthist | 3206 Heritage Trade Dr Ste 114, Wake Forest, NC 27587-4487 | 2019-02-08 |
| 1548626252 | Advanced Orthopedic Products & Services, Inc. | Pedorthist | 2708 Wooten Blvd Sw, Suite B, Wilson, NC 27893-4428 | 2016-01-11 |
| 1497935464 | G Martin Edwards | Pedorthist | 54 Singing Pines Dr, Candler, NC 28715-9634 | 2007-11-07 |
| 1043780703 | Steven Daniel Fletcher | Pedorthist | 443 Daniels St, Raleigh, NC 27605-1359 | 2018-11-26 |
| 1356899843 | Charles Richard Follette | Pedorthist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2016-09-14 |
| 1487089116 | Karen H Rose | Pedorthist | 309-b Nash St W, Wilson, NC 27893 | 2013-09-12 |
| 1033451042 | Penny C Tripp | Pedorthist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2013-03-18 |
| 1043550148 | James Godfrey Mclelland Jr. | Pedorthist | 119 W Broad St, Statesville, NC 28677-5257 | 2013-02-26 |
| 1780669234 | Donald Earl Griffin | Pedorthist | 3010 Maplewood Ave, Suite 116, Winston Salem, NC 27103-4019 | 2005-12-07 |
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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.