MR. MARK DOUGLAS SINGER I (NPI# 1952825994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952825994 |
| Entity Type | Individual |
| Full Name | MR. MARK DOUGLAS SINGER I |
| Credential | C.PED |
| Practice Address |
17530 Dugdale Dr South Bend IN 46635-1583 |
| Practice Telephone | (574) 233-3352 |
| Practice Fax Number | 5742881514 |
| Mailing Telephone | 5742333352 |
| Mailing Fax Number | 5742881514 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | 0660 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831308782 | Mark Gary Singer | Preventive Medicine | 777 Joslyn Ave, Mc 483-720-420, Pontiac, MI 48340-2925 | 2007-05-21 |
| 1841249109 | Mark I. Singer | Otolaryngology | 2340 Clay Street, 2nd Floor, San Francisco, CA 94115-1932 | 2006-05-06 |
| 1962486332 | Mark Stephen Singer | Emergency Medicine | 3334 Sterling Ct, Napa, CA 94558-4262 | 2005-11-30 |
| 1760699631 | Mark A Singer | Dentist | 1890 Sw Health Pkwy, Suite 104, Naples, FL 34109-0473 | 2007-05-17 |
| 1003943127 | Mark Singer | Psychologist | 513 W Mount Pleasant Ave, Suite 222, Livingston, NJ 07039-1710 | 2007-02-27 |
| 1477569416 | Mark A Singer | Internal Medicine | 325 Park Ave, Huntington, NY 11743-2779 | 2006-07-31 |
| 1356365308 | Mark Sheldon Singer | Specialist | 15 Hospital Dr, Suite 402, Holyoke, MA 01040-6606 | 2006-07-26 |
| 1801854997 | Mark C Singer | Psychiatry & Neurology | 55 E 87th St, New York, NY 10128-1043 | 2006-05-01 |
| 1669469151 | Mark J Singer | Social Worker | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2005-09-30 |
| 1235136789 | Mark Singer | Radiology | 1500 Saint Georges Ave, Avenel, NJ 07001-1000 | 2005-06-30 |
| Street Address |
17530 DUGDALE DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487176293 | Adam Lee Waugh | Orthotist | 17530 Dugdale Dr, South Bend, IN 46635-1583 | 2017-07-13 |
| 1790209864 | Kelly Ann Roth | Orthotist | 17530 Dugdale Dr, South Bend, IN 46635-1583 | 2017-08-01 |
| 1598289654 | Eric Schopmeyer | Orthotist | 17530 Dugdale Dr, South Bend, IN 46635-1583 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on MR. MARK DOUGLAS SINGER I.
| 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.