DR. MARK D. JESSEN (NPI# 1033174982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033174982 |
| Entity Type | Individual |
| Full Name | DR. MARK D. JESSEN |
| Credential | M.D. |
| Practice Address |
1326 Andrea St Bowling Green KY 42104-3334 |
| Practice Telephone | 2707811588 |
| Practice Fax Number | 2707811598 |
| Mailing Telephone | 2707811588 |
| Mailing Fax Number | 2707811598 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 29379 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64293798 | 05 |
| Street Address |
1326 ANDREA ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871934133 | Jessen Surgical, Inc | Surgery | 1326 Andrea St, Bowling Green, KY 42104-3334 | 2013-07-15 |
| 1114983418 | Robert H. Franklin | Surgery | 1326 Andrea St, Bowling Green, KY 42104-3334 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819811 | Sara Catherine Soule | Surgery | 825 2nd Ave Ste B6, Bowling Green, KY 42101-1790 | 2012-04-10 |
| 1629270764 | Douglas Sterling Hess | Surgery | 1362 Conneaut Ave, Bowling Green, OH 43402-2126 | 2007-06-01 |
| 1467506931 | Douglas William Hess | Surgery | 640 S Wintergarden Road, Bowling Green, OH 43402 | 2007-01-22 |
| 1295885309 | Danny L Harrison | Surgery | 1711 Destiny Ln Ste 120, Bowling Green, KY 42104-1066 | 2007-01-11 |
| 1376547117 | Tage Haase | Surgery | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2005-06-09 |
| 1871934133 | Jessen Surgical, Inc | Surgery | 1326 Andrea St, Bowling Green, KY 42104-3334 | 2013-07-15 |
| 1790097111 | Amber Chambers | Surgery | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2010-07-14 |
| 1063660405 | Eric T. Wooten, D.o., Psc | Surgery | 1325 Andrea St, Ste. 209, Bowling Green, KY 42104-5852 | 2008-08-27 |
| 1649435835 | Surgical Specialists of Bowling Green LLC | Surgery | 960 W Wooster St, Suite 202, Bowling Green, OH 43402-2644 | 2008-07-28 |
| 1982864344 | Onyeoziri Raphael Nwanguma | Surgery | 825 Second Avenue East, Suite A4, Bowling Green, KY 42101-1789 | 2008-06-10 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.