MARK S CRESENZO (NPI# 1902888092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902888092 |
| Entity Type | Individual |
| Full Name | MARK S CRESENZO |
| Credential | M.D. |
| Practice Address |
192 Cresenzo Rd Reidsville NC 27320-9356 |
| Practice Telephone | 3363421985 |
| Mailing Telephone | 3363421985 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31465 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 31465 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8925636 | 05 |
| Street Address |
192 CRESENZO RD |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-9356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285893818 | Tattnall Hospital Company, LLC | Family Medicine | 125 Memorial Drive, Reidsville, GA 30453-4605 | 2008-06-09 |
| 1326240904 | Gregory Lamar Fortner | Family Medicine | 222s Main St, Reidsville, GA 30453-4602 | 2007-06-05 |
| 1669563839 | Richard M Dondiego | Family Medicine | 829 S Scales St, Reidsville, NC 27320-5331 | 2006-09-27 |
| 1629073176 | William Stephen Luking | Family Medicine | 520 Maple Ave, Ste B, Reidsville, NC 27320-4600 | 2005-06-20 |
| 1043703804 | Moses Cone Physician Services, Inc. | Family Medicine | 1107 S Main St, Reidsville, NC 27320-5313 | 2018-06-07 |
| 1710350863 | Fortner Medical Clinic, LLC | Family Medicine | 222 S Main St, Reidsville, GA 30453-4602 | 2015-11-10 |
| 1053603001 | Moses Cone Affiliated Physicians, Inc | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2011-05-10 |
| 1982868865 | Junell Carol Koberlein | Family Medicine | 1818 Richardson Dr, Ste. A, Reidsville, NC 27320-5451 | 2008-07-10 |
| 1558582353 | Frances E. Dechurch & Associates, Pllc | Family Medicine | 829 S Scales St, Reidsville, NC 27320-5331 | 2007-05-01 |
| 1003969874 | Stephen Dana Knowlton | Family Medicine | 601 W Harrison St, Reidsville, NC 27320-4621 | 2007-01-18 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
Please comment or provide details below to improve the information on MARK S CRESENZO.
| 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.