Mark A Severtson (NPI# 1861499576, PAC ID# 5395884464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1861499576 |
| PAC ID by PECOS | 5395884464 |
| Professional Enrollment ID | I20091229000537 |
| Full Name | Mark A Severtson |
| Organization Legal Name | KENTUCKIANA EAR NOSE AND THROAT PSC |
| Address |
1405 Spring St Jeffersonville IN 47130-3736 |
| Phone Number | 8122830728 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1992 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9133195902 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1405 Spring St, Jeffersonville, IN 47130-3736 | 8122830728 | KENTUCKIANA EAR NOSE AND THROAT PSC |
| 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 | 5028948441 | KENTUCKIANA EAR NOSE AND THROAT PSC |
| 9850 Von Allmen Ct, Suite 104, Louisville, KY 40241-2854 | 5028948441 | KENTUCKIANA EAR NOSE AND THROAT PSC |
| Organization Legal Name | KENTUCKIANA EAR NOSE AND THROAT PSC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean F Martindale | Nurse Practitioner | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Lindsay N Ciletti | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 1405 Spring St, Jeffersonville, IN 47130-3736 |
| Sean Matthew Miller | Otolaryngology | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Sameet S Sohi | Otolaryngology | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Kerrie Michelle Roberts | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Melanie J Spann | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Sarah K Hunt | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Natalie W Shaw | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Thomas Stephen Higgins Jr. | Otolaryngology | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Bruce Alan Scott | Otolaryngology | Kentuckiana Ear Nose and Throat Psc | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3355 |
| Street Address |
1405 SPRING ST |
| City | JEFFERSONVILLE |
| State | IN |
| Zip | 47130-3736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay N Ciletti | Qualified Audiologist | Kentuckiana Ear Nose and Throat Psc | 1405 Spring St, Jeffersonville, IN 47130-3736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Terry | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Lori D Duggins | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Timothy Wise | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Amy Lee Smith | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Pamela Ward | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Lyndsey M Zajac | Nurse Practitioner | Total Care Family Practice Rick Bobay LLC | 1701 Spring St, Suite B, Jeffersonville, IN 47130-2930 |
| Charles F Kemper | Allergy/immunology | 1507 Spring St, Jeffersonville, IN 47130-2939 | |
| Michael C Nicoson | Hand Surgery | Hand and Wrist of Louisville Pllc | 200 Missouri Ave, Suite 18, Jeffersonville, IN 47130-3061 |
| Scott T Rotterman | Podiatry | Sports Medicine Surgical Specialists Pllc | 200 Missouri Ave, Suite A, Jeffersonville, IN 47130-3061 |
| Salle B Mcafee | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Associates Psc | 200 Missouri Ave, Jeffersonville, IN 47130-3061 |
| Find all physicians in zip 47130 | |||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | JEFFERSONVILLE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mark A Severtson.
| 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.