MR. MARK ANTHONY PROVENZANO (NPI# 1982791679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982791679 |
| Entity Type | Individual |
| Full Name | MR. MARK ANTHONY PROVENZANO |
| Credential | MD |
| Practice Address |
389 New Castle Rd Butler PA 16001-1743 |
| Mailing Address |
Po Box 1549 Butler PA 16003-1549 |
| Practice Telephone | 7242822216 |
| Practice Fax Number | 7242821861 |
| Mailing Telephone | 7242845670 |
| Mailing Fax Number | 7242844144 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
049161L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK | PR873841 | 01 | |
| PA | 0590636 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942486428 | Mark A Provenzano | Optometrist | 123 Circle Way, Lake Jackson, TX 77566-5233 | 2008-01-15 |
| 1811094584 | Mark Phillip Provenzano | Orthopaedic Surgery | 950 Campbell Rd, Houston, TX 77024-2804 | 2006-09-17 |
| Street Address |
389 NEW CASTLE RD |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525927 | Istvan Hajduk | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2005-08-11 |
| 1356940076 | Katelyn R Straynick | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2020-10-23 |
| 1629608807 | Larry L Kniess | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2020-01-16 |
| 1003473414 | Kristyn Holmes | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2019-05-21 |
| 1346806957 | Sarah E Meyers | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2019-05-20 |
| 1497133144 | Corinna Weaver | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2015-05-14 |
| 1053799221 | Butler Medical Providers | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2015-05-08 |
| 1568898617 | Jonathan David Summers | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2013-09-20 |
| 1316181571 | Shripal Shrishrimal | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2009-04-30 |
| 1366595696 | Shelley Neff Milanovich | Nurse Practitioner | 389 New Castle Rd, Butler, PA 16001-1743 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525927 | Istvan Hajduk | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2005-08-11 |
| 1053799221 | Butler Medical Providers | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2015-05-08 |
| 1962823674 | Pinnacle Health Services LLC | Internal Medicine | 1610 N Main Street Ext, Suite 101, Butler, PA 16001-1513 | 2013-12-23 |
| 1316181571 | Shripal Shrishrimal | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2009-04-30 |
| 1457504060 | Bravis Enterprises Inc | Internal Medicine | 1610 N Main Street Ext, Suite 101, Butler, PA 16001-1513 | 2008-10-28 |
| 1497718282 | Raheela Pirzada | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2006-04-11 |
| 1164424800 | Frederic A Acevedo | Internal Medicine | 389 New Castle Rd, Butler, PA 16001-1743 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376171264 | Jamie Shawn Shatzman | Internal Medicine | 25 Harrison Dr, Newtown Square, PA 19073-1420 | 2020-03-28 |
| 1033746813 | Advanced Pulmonary Specialists | Internal Medicine | 846 Bank St, Beaver, PA 15009-2602 | 2020-03-24 |
| 1881229417 | Mark Arthur Stypula | Internal Medicine | 848 Arbordale Ln, Wexford, PA 15090-7439 | 2020-03-04 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1023595667 | Pulmonary Consultants Inc. | Internal Medicine | 1 Medical Center Blvd Ste 422, Chester, PA 19013-3902 | 2018-07-26 |
| 1013437250 | Pinnacle Health Regional Physicians | Internal Medicine | 1533 Commerce Ave Ste 3, Carlisle, PA 17015-9128 | 2017-06-20 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1831573146 | Meadville Physician Services | Internal Medicine | 751 Liberty St Ste G-19, Meadville, PA 16335-2559 | 2015-07-16 |
| 1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
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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.