Mark A Innis (NPI# 1740450220, PAC ID# 6800969601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1740450220 |
| PAC ID by PECOS | 6800969601 |
| Professional Enrollment ID | I20080725000496 |
| Full Name | Mark A Innis |
| Organization Legal Name | EMERGENCY COVERAGE CORP |
| Address |
600 W Ridge Rd Wythe County Comm Hosp Wytheville VA 24382-1099 |
| Phone Number | 2766258820 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3072412592 |
| Number of Group Practice Members | 179 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490075 | SOVAH HEALTH DANVILLE |
| 180024 | SPRING VIEW HOSPITAL |
| 260025 | HANNIBAL REGIONAL HOSPITAL |
| 330056 | BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS |
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 121 Dekalb Ave, Brooklyn, NY 11201-5493 | 7182506889 | TBHC EMERGENCY MEDICINE PC |
| Po Box, Suite 1257, Hannibal, MO 63401-1257 | 5732485460 | HANNIBAL REGIONAL HEALTHCARE SYSTEM INC |
| 1625 Nashville St, Russellville, KY 42276-8853 | 2707264011 | SOUTHEASTERN EMERGENCY PHYSICIANS LLC |
| 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 | 2766258820 | EMERGENCY COVERAGE CORP |
| Organization Legal Name | EMERGENCY COVERAGE CORP |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina Marie Pope | Emergency Medicine | Emergency Coverage Corp | 9275 Chamberlayne Rd, Mechanicsville, VA 23116-2800 |
| Paul R Goyt | Emergency Medicine | Emergency Coverage Corp | 6801 Gov G C Peery Hwy, Richlands, VA 24641 |
| Ashish M Bhakta | Emergency Medicine | Emergency Coverage Corp | 1360 S Main St, Ellijay, GA 30540-5410 |
| Matthew Barrett Neal | Emergency Medicine | Emergency Coverage Corp | 1607 S Locust Ave Hwy 43, Lawrenceburg, TN 38464-4011 |
| Michael Healy Ward | Emergency Medicine | Emergency Coverage Corp | 142 S Main St, Danville, VA 24541-2922 |
| Mark Stowe | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Charles T Baker | Internal Medicine | Emergency Coverage Corp | 923 E Central Ave, La Follette, TN 37766-2768 |
| Muhammad B Abushaer | Internal Medicine | Emergency Coverage Corp | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 |
| Gregory Allen Benbow | Emergency Medicine | Emergency Coverage Corp | 14720 Hancock Village St, Chesterfield, VA 23832-2790 |
| Edna E Ekuban-gordon | Emergency Medicine | Emergency Coverage Corp | 615 Ridge Rd, Roxboro, NC 27573-4629 |
| Street Address |
600 W RIDGE RD WYTHE COUNTY COMM HOSP |
| City | WYTHEVILLE |
| State | VA |
| Zip | 24382-1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Stowe | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Audrey Louise Grant | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Douglas A Jentilet | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Chase King | Family Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Richard D Brenner | Anesthesiology | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Lesley Wilcoxson | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Joseph Lee Joyce | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| John James Dallara | Emergency Medicine | Emergency Coverage Corp | 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommi S Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
| Noah A Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
| Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| James C Hataway | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Karl A Ritch | Diagnostic Radiology | Radiology Consultants of Wytheville | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Douglas C Bankhead | Anesthesiology | Sheridan Anesthesia Services of Virginia, Inc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Derek C Gardner | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Ashley Ball | Nurse Practitioner | Healogics Specialty Physicians of Virginia LLC | 590 W Ridge Rd, Suite M, Wytheville, VA 24382-1067 |
| Find all physicians in zip 24382 | |||
| City | WYTHEVILLE |
| Zip Code | 24382 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WYTHEVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark A Innis.
| 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.