MARK DOERR


Address: 23823 Ford Rd, Dearborn, MI 48128-1206
Phone: 3132774146

MARK DOERR (NPI# 1013460260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013460260
Entity Type Individual
Full Name MARK DOERR
Credential PA
Practice Address 23823 Ford Rd
Dearborn
MI 48128-1206
Practice Telephone 3132774146
Mailing Telephone 3132774146
Enumeration Date 2016-07-24
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5060 Crestmont Dr, Troy, MI 480982440 2487627701

Other Providers MARK DOERR

NPI Name Taxonomy Address Enumeration
1477560738 Mark J Doerr Urology 500 Sterling Dr, Orchard Park, NY 14127-1573 2006-08-01

Office Location

Street Address 23823 FORD RD
City DEARBORN
State MI
Zip Code 48128-1206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598176471 Manuel Schubert Orthopaedic Surgery 23823 Ford Rd, Dearborn, MI 48128-1206 2014-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467942219 Mahmoud Farhat Dentist 18590 Outer Dr, Dearborn, MI 48128 2018-05-17
1730607474 Gentle Hands Direct Care Services, Inc. Chore Provider 6659 Schaefer Hwy, Ste. 103, Dearborn, MI 48128 2017-09-01
1396095824 Corey S. Farber, Pllc Dentist 23919 Ford Road, Dearborn, MI 48128 2012-09-12
1184987075 Yasser Alali Dentist 430 North Telegraph Road, Dearborn, MI 48128 2012-06-17
1841573425 Apple Transportation LLC Non-emergency Medical Transport (VAN) 2000 Lafayette, Dearborn, MI 48128 2011-09-21
1407150295 Dustin Marsh Psychologist 19044 Outer Dr, Dearborn, MI 48128 2011-01-07
1619205028 Michigan-greenfield Urgent Care Pllc Clinic/Center 24355 Ford Rd, Dearborn, MI 48128 2009-11-23
1295905065 Julius Frank Chikos Dentist 21775 Wildwood Street, Dearborn, MI 48128 2008-03-07
1003974155 Walter Knysz Jr. Dentist 23401 Ford Road, Dearborn, MI 48128 2006-12-04
1902983703 Fadi Ahmad Sobh Pharmacist 1745 N Silvery Ln, Dearborn, MI 48128 2006-11-01
Find all providers in zip 48128

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326664194 Ibrahim Humaisan Physician Assistant 1769 Walnut St, Dearborn, MI 48124-4025 2020-06-17
1518514900 Afrah Saadi Physician Assistant 3375 Hollywood St, Dearborn, MI 48124-4360 2019-08-21
1801352067 Stacey Marie Stewart Physician Assistant 3021 Grindley Park St, Dearborn, MI 48124-4522 2019-02-13
1407206105 Ayah Jaafar Physician Assistant 15120 Prospect St, Dearborn, MI 48126-2922 2016-06-14
1174970693 Jaber Mawiri Physician Assistant 5402 Bingham St, Dearborn, MI 48126-3306 2016-05-16
1699134080 Mohamad Nehme Physician Assistant 5200 Orchard Ave, Dearborn, MI 48126-4620 2016-02-15
1578948220 Eaman Alhaider Physician Assistant 3053 Lindenwood Dr, Dearborn, MI 48120-1311 2015-07-23
1922384064 Cynthia Kler Rockwell Physician Assistant 330 Town Center Dr, Dearborn, MI 48126-2738 2011-11-02
1083902217 Lena Sarsam Physician Assistant 10306 Dix Ave., Dearborn, MI 48120 2011-07-21
1356656706 Lisa Reuter Physician Assistant 2040 Monroe St Ste 207, Dearborn, MI 48124-2950 2010-08-10
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48128

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Dataset Information

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.

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