Mark A Risen (NPI# 1174571004, PAC ID# 3577456110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1174571004 |
| PAC ID by PECOS | 3577456110 |
| Professional Enrollment ID | I20040206000061 |
| Full Name | Mark A Risen |
| Address |
1003 Old Greensburg Rd Campbellsville KY 42718-2571 |
| Gender | M |
| Credential | DPM |
| Medical School | COLLEGE OF PHYSICIANS AND SURGEONS (IOWA) |
| Graduation Year | 1993 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180017 | T J SAMSON COMMUNITY HOSPITAL |
| 180087 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1003 OLD GREENSBURG RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip | 42718-2571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
| Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
| Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
| Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Angela F Soltero | Nurse Practitioner | Psf Pllc | 111 Wildflower Lane, Suite A, Campbellsville, KY 42718-3362 |
| Find all physicians in zip 42718 | |||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
| Specialty | PODIATRY |
| City + Specialty | CAMPBELLSVILLE + PODIATRY |
Please comment or provide details below to improve the information on Mark A Risen.
| 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.