JULIE P. MARK (NPI# 1851781934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851781934 |
| Entity Type | Individual |
| Full Name | JULIE P. MARK |
| Credential | MD |
| Practice Address |
1627 E Bristol St Elkhart IN 46514-3817 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742620313 |
| Practice Fax Number | 5742628163 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01036572A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100130050 | 05 | |
| IN | BCBS BMG PEDIATRICS | 000000924711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922479286 | Julie Mark | Social Worker | 42 E Jackson St, Painesville, OH 44077-4003 | 2015-10-13 |
| 1518927482 | Julie Ar Mark | Dermatology | One Park West Blvd., Suite 370, Akron, OH 44320 | 2006-03-24 |
| 1932716081 | Julie Mark | Pharmacist | 3420 Camino Tassajara, Danville, CA 94506-4680 | 2020-09-23 |
| Street Address |
1627 E BRISTOL ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972650 | Bristol Street Pediatrics, P.C. | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-06-16 |
| 1487217352 | Andrea Beth Bontrager Yoder | Dietitian, Registered | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2019-04-17 |
| 1306228184 | Laura M. Dieterlen | Nurse Practitioner | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2015-06-29 |
| 1861816761 | Beacon Medical Group, Inc. | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514 | 2014-02-12 |
| 1659614964 | Emily Marie Kisor | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2013-04-04 |
| 1033300439 | Rosemary J Eash | Nurse Practitioner | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2007-08-09 |
| 1720279128 | Jody L Srof | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2007-08-09 |
| 1770533424 | Jared Ray Dhaemers | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2006-05-12 |
| 1811988694 | James Peterson | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-11-02 |
| 1639160419 | Sandra H. Morgan | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922160373 | Roger J Vanorsdoll | Pediatrics | 3100 Windsor Ct, Elkhart, IN 46514-5556 | 2006-12-14 |
| 1619972650 | Bristol Street Pediatrics, P.C. | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2005-06-16 |
| 1861816761 | Beacon Medical Group, Inc. | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514 | 2014-02-12 |
| 1659614964 | Emily Marie Kisor | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2013-04-04 |
| 1447517172 | Meenakshi Gupta | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516 | 2012-04-19 |
| 1548412000 | Christine Mamphey Dankwa | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2008-10-16 |
| 1720279128 | Jody L Srof | Pediatrics | 1627 E Bristol St, Elkhart, IN 46514-3817 | 2007-08-09 |
| 1841379187 | Dwayne Edward Johnson | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2006-11-06 |
| 1134214240 | Shanna Verma Kautzmann | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516-4671 | 2006-10-04 |
| 1902998073 | Erin Ann Farrell | Pediatrics | 236 Simpson Ave, Elkhart, IN 46516-4671 | 2006-09-28 |
| Find all providers in ELKHART | ||||
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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.