MR. MARK DAMON MONTELONGO (NPI# 1063726750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063726750 |
| Entity Type | Individual |
| Full Name | MR. MARK DAMON MONTELONGO |
| Credential | NP |
| Practice Address |
6901 Medical Parkway Waco TX 76712-7910 |
| Mailing Address |
6901 Medical Pkwy Waco TX 76712-7910 |
| Practice Telephone | 2547514756 |
| Mailing Telephone | 2547514756 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
734468 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6901 MEDICAL PARKWAY |
| City | WACO |
| State | TX |
| Zip Code | 76712-7910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336112556 | Steven M Elwell | Internal Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-02-08 |
| 1285962688 | Ronda Lea Mullenax | Nurse Practitioner | 6901 Medical Parkway, Waco, TX 76712 | 2009-11-23 |
| 1720142821 | Dennis Michael Plante | Emergency Medicine | 6901 Medical Parkway, Providence Ed, Waco, TX 76712 | 2006-12-21 |
| 1639242548 | Mclennan County Hospitalist Services Pa | Specialist | 6901 Medical Parkway, Waco, TX 76712 | 2006-11-16 |
| 1245334853 | Jennifer Lynn Pepper | Emergency Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-09-12 |
| 1710099767 | Guido Emmett Zecca | Emergency Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-08-31 |
| 1982716957 | Craig Allen Gill | Emergency Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-08-31 |
| 1124130190 | Weldon Louis Kunkel | Emergency Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-08-31 |
| 1780796748 | Daniel Morgan Roberts | Emergency Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-08-31 |
| 1558473504 | Jason K Bryant | Emergency Medicine | 6901 Medical Parkway, Waco, TX 76712 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209559 | Veronica House | Nurse Practitioner | 358 Flint Rd, Waco, KY 40385-9714 | 2020-09-10 |
| 1215409065 | Ashley Danielle Edmondson | Nurse Practitioner | 318 Richland West Cir Ste A, Waco, TX 76712-7919 | 2018-12-18 |
| 1417426529 | Shane Moore | Nurse Practitioner | 7030 New Sanger Ave Ste 204, Waco, TX 76712-4074 | 2018-11-19 |
| 1588148290 | Catherine Paige Pollard | Nurse Practitioner | 120 Hillcrest Medical Blvd Ste 101, Waco, TX 76712-8949 | 2018-09-18 |
| 1578075081 | Ligia Liana Tofanel | Nurse Practitioner | 333 Londonderry Dr Ste 200, Waco, TX 76712-7930 | 2017-10-25 |
| 1114454410 | Joyce Belinda Ivie | Nurse Practitioner | 611 W Hwy 6 Ste 108, Waco, TX 76710-7545 | 2017-05-17 |
| 1700233004 | Kameron Harrison | Nurse Practitioner | 601 W Hwy 6 Ste 101, Waco, TX 76710-5592 | 2016-05-17 |
| 1508293705 | Katie A Carranza | Nurse Practitioner | 1800 Gurley Street, Waco, TX 76706-4025 | 2013-10-02 |
| 1710329859 | Rachel Paige Harrington | Nurse Practitioner | 4601 N. 19th Street, Bldg H, Waco, TX 76708-1261 | 2013-07-17 |
| 1255770970 | Michele Davis Groetzinger | Nurse Practitioner | 201 Westlane Cir, Waco, TX 76712-3186 | 2013-06-15 |
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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.