Mark Ende (NPI# 1528152824, PAC ID# 9739354432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528152824 |
| PAC ID by PECOS | 9739354432 |
| Professional Enrollment ID | I20111207000881 |
| Full Name | Mark Ende |
| Organization Legal Name | ENDE MEDICAL PRACTICE, LLP |
| Address |
121 S Market St Petersburg VA 23803-4217 |
| Phone Number | 8047338771 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1759556459 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| 490020 | JOHN RANDOLPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 121 S Market St, Petersburg, VA 23803-4217 | 8047338771 | ENDE MEDICAL PRACTICE, LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ENDE MEDICAL PRACTICE, LLP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie Lea Eads | Nurse Practitioner | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Frederick Ivan Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Street Address |
121 S MARKET ST |
| City | PETERSBURG |
| State | VA |
| Zip | 23803-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie Lea Eads | Nurse Practitioner | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Frederick Ivan Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Quarshie | Family Medicine | Southside Physician Network LLC | 20901 Chesterfield Ave, South Chesterfield, VA 23803-1903 |
| Terri S Carter | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 |
| Maria W Haltom | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 |
| Dawn Welch | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Petersburg, VA 23803-3279 |
| Xiao H Jin | Family Medicine | 51 S Market St, Petersburg, VA 23803-4215 | |
| Rose Renee Jeter | Clinical Social Worker | 115 S Sycamore St, Suite B, Petersburg, VA 23803-4279 | |
| Kiho Min | Internal Medicine | Professional Health Care, Inc. | 24 S Adams St, Petersburg, VA 23803-4525 |
| Theresa K Kennon | Nurse Practitioner | Professional Health Care, Inc. | 24 S Adams St, Petersburg, VA 23803-4525 |
| Bryon E Greenberg | Psychologist, Clinical | 40 Liberty St, Petersburg, VA 23803-5021 | |
| Bolling J Feild | Internal Medicine | 507 S Sycamore St, Petersburg, VA 23803-5037 | |
| Find all physicians in zip 23803 | |||
| City | PETERSBURG |
| Zip Code | 23803 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PETERSBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark Ende.
| 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.