MARK STOCK (NPI# 1962634154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962634154 |
| Entity Type | Individual |
| Full Name | MARK STOCK |
| Credential | NP-C |
| Practice Address |
9401 James Ave S Ste 162 Bloomington MN 55431-2549 |
| Practice Telephone | 6512251102 |
| Practice Fax Number | 6129771208 |
| Mailing Telephone | 6512251102 |
| Mailing Fax Number | 6129771208 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R 163073-8 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 Curve Crest Blvd W, Suite 100, Stillwater, MN 550825078 | 6514303800 | 6514303827 |
| 967 Lake St S, Forest Lake, MN 550252616 | 6512251102 | 6129771208 |
| Street Address |
9401 JAMES AVE S STE 162 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1609343128 | Katy Jo Northcutt | Nurse Practitioner | 1130 S Veterans Parkway, Bloomington, IL 61704-7117 | 2018-11-02 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1720532005 | Antonia Jacqueline Abrahamsen | Nurse Practitioner | 2009 E Oakland Ave, Bloomington, IL 61701-5756 | 2016-08-04 |
| 1700229028 | Steve Mandieka | Nurse Practitioner | 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611 | 2013-04-17 |
| 1144538380 | Julie Ann Whelan | Nurse Practitioner | 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 | 2010-09-22 |
| 1386877413 | Carrie Hines | Nurse Practitioner | 4444 W State Road 46, Bloomington, IN 47404-9691 | 2009-08-24 |
| 1104911791 | Carla Mcgee | Nurse Practitioner | 600 North Jordan Avenue, Bloomington, IN 47405-3191 | 2006-10-03 |
| 1154429439 | Theresa Ann Bock | Nurse Practitioner | 455 S Landmark Ave, Bloomington, IN 47403-5004 | 2006-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on MARK STOCK.
| 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.