DR. MARK HOEPRICH (NPI# 1073714457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073714457 |
| Entity Type | Individual |
| Full Name | DR. MARK HOEPRICH |
| Credential | M.D. |
| Practice Address |
3700 Southern Blvd Ste 300 Kettering OH 45429 |
| Mailing Address |
3700 Southern Blvd Ste 300 Kettering OH 45429-1226 |
| Practice Telephone | 9376439299 |
| Practice Fax Number | 9376432343 |
| Mailing Telephone | 9376439299 |
| Mailing Fax Number | 9376432343 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301086032 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0084972 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 762 S Cleveland Massillon Rd, Fairlawn, OH 443333024 | 3306654100 | 3306656748 |
| Street Address |
3700 SOUTHERN BLVD STE 300 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410538 | David Evans | Physician Assistant | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2005-07-08 |
| 1891266441 | Lauren Aleice Stroud | Pain Medicine | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2018-12-07 |
| 1306311477 | Jennifer Elizabeth Sargent | Physician Assistant | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2018-10-04 |
| 1477084473 | Erin Jordan | Nurse Practitioner | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2017-03-22 |
| 1083073696 | Lashauna Hall | Nurse Practitioner | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2016-02-11 |
| 1598131351 | Lucinda Day | Nurse Practitioner | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2015-08-17 |
| 1558746917 | Jane Elizabeth Skipper | Nurse Practitioner | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2015-07-28 |
| 1881096311 | Brennan L Kelly | Physician Assistant | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2014-09-16 |
| 1235475476 | Richard John Gorman Jr. | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2012-12-17 |
| 1366792491 | Jenna Denise Wise | Physician Assistant | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2012-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235475476 | Richard John Gorman Jr. | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2012-12-17 |
| 1891077194 | Alliance Physician Inc | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 | 2011-09-13 |
| 1700164993 | Siddharth Uday Shetgeri | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2011-07-22 |
| 1013228410 | Akil P. Patel | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2010-06-30 |
| 1538326392 | Peter A Bouz | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429 | 2008-05-20 |
| 1740469865 | Linda D Alston | Neurological Surgery | 3533 Southern Blvd, Suite 3000, Kettering, OH 45429-1264 | 2007-10-25 |
| 1629287677 | Phillip Michael Porcelli | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 | 2007-05-22 |
| 1871706473 | Kamal Ronald Woods | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2007-05-08 |
| 1972530848 | Raymond J. Poelstra | Neurological Surgery | 3700 Southern Blvd Ste 300, Kettering, OH 45429-1226 | 2006-06-27 |
| 1023044971 | Lynn J. Robbins | Neurological Surgery | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 | 2006-06-23 |
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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.