DR. MARK ANTHONY WEITZEL (NPI# 1811257231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811257231 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY WEITZEL |
| Credential | D.O. |
| Practice Address |
122 12th St Ste A Princeton WV 24740-2312 |
| Mailing Address |
Po Box 1369 Princeton WV 24740-1369 |
| Practice Telephone | 3044873407 |
| Practice Fax Number | 3044871052 |
| Mailing Telephone | 3044315168 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
3125 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4190 City Ave, Philadelphia, PA 191311626 | 2158716693 | 2158716695 |
| Street Address |
122 12TH ST STE A |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841307311 | Lee Elliott Smith | Otolaryngology | 122 12th St Ste A, Princeton, WV 24740 | 2006-08-23 |
| 1205197407 | Mark Lentner | Otolaryngology | 122 12th St Ste A, Princeton, WV 24740-2312 | 2012-06-04 |
| 1124302260 | Melissa Ann Shrewsbury | Nurse Practitioner | 122 12th St Ste A, Princeton, WV 24740-2312 | 2011-10-07 |
| 1750482014 | Deborah P Lentner | Physician Assistant | 122 12th St Ste A, Princeton, WV 24740-2312 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205197407 | Mark Lentner | Otolaryngology | 122 12th St Ste A, Princeton, WV 24740-2312 | 2012-06-04 |
| 1023312188 | Nicole Schrader, Md Facial Plastic and Reconstructive Surgery, LLC | Otolaryngology | 214 N Harrison St, Princeton, NJ 08540-3507 | 2011-01-04 |
| 1992732861 | Eugenie Brunner | Otolaryngology | 256 Bunn Dr, Princeton, NJ 08540-2859 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316212517 | Andrew Hunter Petersen | Otolaryngology | 211 W Maple Ave, Fayetteville, WV 25840-1445 | 2012-03-20 |
| 1043222961 | Eye and Ear Clinic Physicians, Inc | Otolaryngology | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2006-08-12 |
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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.