MR. MARK SHANNON THOMAS (NPI# 1811233794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811233794 |
| Entity Type | Individual |
| Full Name | MR. MARK SHANNON THOMAS |
| Other Name | MR. MARK SHANNON KING |
| Practice Address |
2124 Fountain Sq Snellville GA 30078-3196 |
| Mailing Address |
2055 Gees Mill Rd Ne Ste 313 Conyers GA 30013-1363 |
| Practice Telephone | 7706899788 |
| Mailing Telephone | 7706899788 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740697937 | Mark David Thomas | Nurse Practitioner | 1534 Clay St Apt 5, San Francisco, CA 94109-3848 | 2014-07-19 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1003138785 | Mark Carl Thomas | Orthopaedic Surgery | 11611 Eureka Way, South Jordan, UT 84095-7916 | 2010-02-22 |
| 1396988705 | Mark K Thomas | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1093970196 | Mark S Thomas | Respiratory Therapist, Registered | 649 Meadowood St, Grand Junction, CO 81504-6977 | 2008-07-28 |
| 1538359377 | Mark Edward Thomas | Dentist | 3500 Truxtun Avenue, Suite A, Suite B, Bakersfield, CA 93301-3018 | 2007-07-27 |
| 1609919349 | Mark Edward Thomas | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-5230 | 2007-02-14 |
| 1740384346 | Mark Alan Thomas | Chiropractor | 4624 Lebanon Pike, Hermitage, TN 37076-1316 | 2006-09-12 |
| 1750304796 | Mark William Thomas | Medical Genetics, Ph.D. Medical Genetics | 7210 N Main St Ste 205, Clarkston, MI 48346-1575 | 2006-07-25 |
| 1699791376 | Mark H. Thomas | Specialist | 720 Energy Center Blvd Ste 504, Northport, AL 35473-2794 | 2006-07-14 |
| Street Address |
2124 FOUNTAIN SQ |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-3196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619314044 | George Gregory Mccoy II | Specialist/Technologist, Other | 4618 Joseph Eli Dr, Snellville, GA 30039-7139 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063964344 | Tawni Marley Smith | Specialist/Technologist, Other | 135 N Hill St, Griffin, GA 30223-3326 | 2016-11-02 |
| 1205252285 | Surgichoice Surgical Assistants LLC | Specialist/Technologist, Other | 6522 Carriage Ln, Stone Mountain, GA 30087-4642 | 2014-03-13 |
| 1740626381 | Yulonda Tate | Specialist/Technologist, Other | 664 Willow Bend Dr, Jonesboro, GA 30238-5982 | 2013-05-21 |
| 1841565876 | Kimberly Ann Washburn | Specialist/Technologist, Other | 220 Lamar Smith Dr, Newnan, GA 30263-4086 | 2012-03-08 |
| 1255604963 | Reginald D Williams Sr. | Specialist/Technologist, Other | 440 Pinevale Ct, College Park, GA 30349-7987 | 2012-02-13 |
| 1760753776 | Bheem Persaud | Specialist/Technologist, Other | 811 Evergreen Dr, Monroe, GA 30655-7354 | 2012-01-23 |
| 1164700415 | Mark E Loiselle | Specialist/Technologist, Other | 2780 Still Lake Dr, Acworth, GA 30102-1183 | 2011-08-03 |
| 1073819066 | Angelia Brown | Specialist/Technologist, Other | 848 Biltmore Ct, Lithonia, GA 30058-6747 | 2011-02-08 |
| 1487950275 | Peachtree Surgical Associates | Specialist/Technologist, Other | 7742 Spalding Dr, Ste 115, Norcross, GA 30092-4207 | 2011-01-27 |
| 1770750846 | C Denney Cummings | Specialist/Technologist, Other | 334 Cecil Hunter Rd, Moreland, GA 30259-2835 | 2008-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.