MARK BEARD (NPI# 1003070723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003070723 |
| Entity Type | Individual |
| Full Name | MARK BEARD |
| Credential | D.O. |
| Practice Address |
5700 W Vernor Hwy Detroit MI 48209 |
| Mailing Address |
5700 W Vernor Hwy Detroit MI 48209-2158 |
| Practice Telephone | 3135867481 |
| Practice Fax Number | 3138997392 |
| Mailing Telephone | 3135867481 |
| Mailing Fax Number | 3138997392 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101017883 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932327236 | Mark Bryan Beard | Dentist | 6 Victory Lane, Liberty, MO 64068 | 2007-04-23 |
| 1114139417 | Mark Beard | Dentist | 1330 Boiling Springs Rd, (220 Sojourners Way), Spartanburg, SC 29303-4201 | 2007-05-07 |
| 1013010081 | Mark Nelson Beard | Emergency Medicine | 2701 S Kiwanis Ave, Sioux Falls, SD 57105-4252 | 2006-09-06 |
| 1376542860 | Mark Hallard Beard | Urology | 2444 Harrodsburg Rd, Lexington, KY 40503-2162 | 2005-07-18 |
| Street Address |
5700 W VERNOR HWY |
| City | DETROIT |
| State | MI |
| Zip Code | 48209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740793777 | Medicina Urbana West Vernor Pllc | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2017-11-13 |
| 1043602485 | Southwest Family Pharmacy | Pharmacy | 5700 W Vernor Hwy, Detroit, MI 48209-2158 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1154337749 | Michigan Health Center PC | Internal Medicine | 4808 W Vernor, Michigan Health Center, Detroit, MI 48209 | 2006-08-01 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1629515770 | Pinnacle Medical Group | General Practice | 535 Griswold St Ste 212, Detroit, MI 48226-3604 | 2017-01-27 |
| 1104170281 | Bryant Medical Staffing Services Group Inc. | General Practice | 1753 E 7 Mile Rd, Detroit, MI 48203-2159 | 2012-10-29 |
| 1316290281 | Higher Standard Therapeutics Rehab PC | General Practice | 14402 Gratiot Ave., Detroit, MI 48205-2307 | 2012-10-17 |
| 1578845400 | Hands Helping You LLC | General Practice | 17181 Pontchartrain Blvd, Detroit, MI 48203-1774 | 2011-09-16 |
| 1487944385 | Better Days Adult Activity Center LLC | General Practice | 17251 Huntington Rd, Detroit, MI 48219-3520 | 2011-04-12 |
| 1669788121 | Az Medical Services Management LLC | General Practice | 7405 Puritan St, Detroit, MI 48238-1207 | 2010-08-23 |
| 1871720342 | Vernor Mc Inc | General Practice | 7649 W Vernor Hwy, Detroit, MI 48209-1513 | 2009-06-11 |
| 1184892754 | David Jonnalagadda Md PC | General Practice | 6001 W Outer Dr Ste 320, Detroit, MI 48235-2626 | 2008-02-15 |
| 1407039076 | Home Medical Services PC | General Practice | 8937 Ohio St, Detroit, MI 48204-2793 | 2007-12-06 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.