DR. MARK EDWARD FENZL (NPI# 1790993137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790993137 |
| Entity Type | Individual |
| Full Name | DR. MARK EDWARD FENZL |
| Credential | D.O. |
| Practice Address |
216 E Lima St Forest OH 45843-1118 |
| Practice Telephone | 4192732553 |
| Practice Fax Number | 4192733337 |
| Mailing Telephone | 4192732553 |
| Mailing Fax Number | 4192733337 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 34.008871 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2902854 | 05 | |
| OH | RAILROAD CARE | P00681969 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710958780 | Mark Fenzl | Radiology | 224 E Main St, Springville, NY 14141-1443 | 2006-01-30 |
| Street Address |
216 E LIMA ST |
| City | FOREST |
| State | OH |
| Zip Code | 45843-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578971784 | Michelle Stone | Occupational Therapy Assistant | 512 S Warner St, Forest, OH 45843-1362 | 2014-07-31 |
| 1467516948 | Jackson Forest Emergency Ambulance Service | Ambulance | 1699 Township Road 195, Forest, OH 45843-9145 | 2006-12-20 |
| 1619216041 | Bobbijo I Drumm | Physical Therapy Assistant | 2866 Township Road 185, Forest, OH 45843-9310 | 2013-02-05 |
| 1356940597 | Deborah Sue Thompson | Private Vehicle | 5151 County Road 159, Forest, OH 45843-9538 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940597 | Deborah Sue Thompson | Private Vehicle | 5151 County Road 159, Forest, OH 45843-9538 | 2020-10-20 |
| 1487260832 | Stephanie Michelle East | Registered Nurse | 411 Quail Hollow Dr, Forest, VA 24551-1029 | 2020-09-21 |
| 1801400049 | Latoya Horsley | Counselor | 2107 Graves Mill Rd Ste B, Forest, VA 24551-4293 | 2020-09-04 |
| 1437768934 | Carrie Elizabeth Wamsley | Counselor | 1381 Crossings Center Dr, Forest, VA 24551-4975 | 2020-07-30 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1528685120 | Hannah Beam | Surgery | 1627 Farmington Dr, Forest, VA 24551-5612 | 2020-06-30 |
| 1588288427 | Seven Hills Aba LLC | Behavioral Analyst | 170 Kirkley Circle, Forest, VA 24551-4167 | 2020-06-06 |
| 1558985648 | Shimila L Keenum | Counselor | 1285 Majestic Oaks Dr, Forest, VA 24551-4450 | 2020-06-03 |
| 1134742505 | Temeka Denson | Clinical Medical Laboratory | 104 Meadow Hill Dr, Forest, MS 39074-3817 | 2020-05-20 |
| 1710509724 | Carol Elassad | Speech-Language Pathologist | 1292 Culpepper Rd, Forest, MS 39074-9114 | 2020-05-13 |
| Find all providers in FOREST | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1053928499 | Ontario Medical Spine and Joint | General Practice | 2262 Stumbo Rd, Ontario, OH 44906-3804 | 2020-09-29 |
| 1437788874 | Syed, LLC | General Practice | 366 Birchbrook Ct, Centerville, OH 45458-9718 | 2020-04-07 |
| 1982237681 | Hydreight Usa LLC | General Practice | 16738 Pearl Rd, Strongsville, OH 44136-6049 | 2020-02-20 |
| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| 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.