Jeffery A Mark (NPI# 1780655381, PAC ID# 1658406814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1780655381 |
| PAC ID by PECOS | 1658406814 |
| Professional Enrollment ID | I20111110000017 |
| Full Name | Jeffery A Mark |
| Address |
515 S 2nd St Elkhart IN 46516-3224 |
| Phone Number | 5742954141 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150018 | ELKHART GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 515 S 2nd St, Elkhart, IN 46516-3224 | 5742954141 |
| Street Address |
515 S 2ND ST |
| City | ELKHART |
| State | IN |
| Zip | 46516-3224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Mirante | Clinical Social Worker | 126 W Lexington Ave, Elkhart, IN 46516-3161 | |
| James B Harris | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Peter M Carney | Neurosurgery | 244 Waterfall Dr, Elkhart, IN 46516-3668 | |
| Christina O Barnes | Allergy/immunology | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Barbara Stitt | Nurse Practitioner | The South Bend Clinic LLP | 234 C Waterfall Dr, Elkhart, IN 46516-3668 |
| Lorraine D Swartzentruber | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Essam A Montasir | Internal Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Kenneth S Bethel | Nurse Practitioner | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Mary P Mcmanmon | Family Medicine | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Martina Green-mcgowan | Obstetrics/gynecology | Heart City Health Center, Inc. | 236 Simpson Ave, Elkhart, IN 46516-4666 |
| Find all physicians in zip 46516 | |||
| City | ELKHART |
| Zip Code | 46516 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ELKHART + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jeffery A Mark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.