MARK ALLEN BROWN (NPI# 1982651352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982651352 |
| Entity Type | Individual |
| Full Name | MARK ALLEN BROWN |
| Credential | P.A. |
| Practice Address |
3801 S National Ave West Tower, Suite 700 Springfield MO 65807-5210 |
| Mailing Address |
Po Box 4024 Springfield MO 65808-4024 |
| Practice Telephone | 4178853888 |
| Practice Fax Number | 4178817638 |
| Mailing Telephone | 4178853888 |
| Mailing Fax Number | 4178817638 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2005004531 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DEPARTMENT OF LABOR WA | 0215422 | 01 |
| MO | 502277007 | 05 | |
| MO | USPS (W/C) | Q42967 | 01 |
| MO | COX HEALTH PLANS | 18942 | 01 |
| MO | ATHEM BLUE CROSS/SHIELD | 195811 | 01 |
| MO | UNITED HEALTHCARE | 0604585 | 01 |
| MO | COX HEALTH PLANS UPI | 23083 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891260618 | Mark M Brown | Driver | 184 Barberry Ter, Rochester, NY 14621-4104 | 2018-10-08 |
| 1346601929 | Mark Stephen Brown | Physician Assistant | 4332 Teeter Totter Cir, Colorado Springs, CO 80917-2937 | 2016-03-10 |
| 1134459605 | Mark Curtis Brown | Counselor | 1708 Meadow Run Dr, Moore, OK 73160-0804 | 2010-01-06 |
| 1316274822 | Mark Gregory Brown | Marriage & Family Therapist | 27 1/2 W Main St, Suite 212, Walla Walla, WA 99362-2815 | 2009-11-05 |
| 1932334661 | Mark Brown | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4865 Broadway Apt 4w, New York, NY 10034-3104 | 2009-05-26 |
| 1215062625 | Mark C Brown | Psychologist | 9781 Whisperwood Circle, Chagrin Falls, OH 44023 | 2007-02-23 |
| 1407931348 | Mark William Brown | Dentist | 111 West Mojave Dr., Big Bear City, CA 92314-0209 | 2006-10-26 |
| 1154425486 | Mark A Brown | Chiropractor | 5211 S Fletcher Ave, Suite 250, Fernandina Beach, FL 32034-5370 | 2006-09-08 |
| 1710907712 | Mark Brown | Chiropractor | 1306 Cottman Ave, Phila, PA 19111-3606 | 2006-07-20 |
| 1043239726 | Mark Alan Brown | Physician Assistant | 121 Fawn Haven Ct, Martinsburg, WV 25401-5285 | 2006-07-19 |
| Street Address |
3801 S NATIONAL AVE WEST TOWER, SUITE 700 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224569 | John W Clouse | Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2005-06-13 |
| 1518568377 | Anna Marie Laffoon | Dietitian, Registered | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-11-06 |
| 1164020822 | Amber Fullington | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-10-15 |
| 1013522150 | Jessica N Rice | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-09-15 |
| 1649880618 | Amber Littleton | Midwife | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-08-05 |
| 1689283988 | Kelley Lizabeth Miller | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-23 |
| 1801404140 | Alyssa Nicole Reeves | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-22 |
| 1255949624 | Lori Marie Burkard | Speech-Language Pathologist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-21 |
| 1316555980 | Jessica Graff | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-20 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| 1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
| 1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
| 1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
| 1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on MARK ALLEN BROWN.
| 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.