MR. MARK PHILLIP FERRIS (NPI# 1093946246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093946246 |
| Entity Type | Individual |
| Full Name | MR. MARK PHILLIP FERRIS |
| Credential | PA-C |
| Practice Address |
12252 Williams Rd Se Cumberland MD 21502-7960 |
| Practice Telephone | 2403627333 |
| Practice Fax Number | 2403627391 |
| Mailing Telephone | 2403627333 |
| Mailing Fax Number | 2403627391 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053938 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0005678 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 16594VV6 | 01 | |
| HIGHMARK | 2120156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922102425 | Mark C Ferris | Optometrist | 309 19th St E, Jasper, AL 35501-5413 | 2006-09-13 |
| 1245255629 | Mark Charles Ferris | Internal Medicine | 2850 Lewis Ln Ste 109, Paris, TX 75460-9378 | 2006-07-13 |
| Street Address |
12252 WILLIAMS RD SE |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225008923 | Donna Ross | Nurse Anesthetist, Certified Registered | 12252 Williams Rd Se, #103, Cumberland, MD 21502-7960 | 2006-01-25 |
| 1457911786 | Lauren Shively | Nurse Practitioner | 12252 Williams Rd Se, Cumberland, MD 21502-7987 | 2019-06-18 |
| 1033531785 | Cumberland Anesthesia Ams LLC | Nurse Anesthetist, Certified Registered | 12252 Williams Rd Se, Ste 103, Cumberland, MD 21502-7960 | 2014-01-15 |
| 1467880500 | Anesthesia Management Solutions LLC | Nurse Anesthetist, Certified Registered | 12252 Williams Rd Se, Ste 103, Cumberland, MD 21502-7960 | 2013-10-29 |
| 1013287002 | Jonas Merrill | Physician Assistant | 12252 Williams Rd Se, Cumberland, MD 21502-7960 | 2012-01-06 |
| 1699054098 | Surgcenter of Western Maryland, LLC | Clinic/Center | 12252 Williams Rd Se, Suit 103, Cumberland, MD 21502-7960 | 2011-08-16 |
| 1972717437 | Tom Ghobrial, Md. LLC | Orthopaedic Surgery | 12252 Williams Rd Se, Cumberland, MD 21502-7960 | 2007-05-10 |
| 1659399103 | Jamie Anne Gera | Physician Assistant | 12252 Williams Rd Se, Cumberland, MD 21502-7960 | 2006-07-17 |
| 1518928746 | Tom Ghobrial | Specialist | 12252 Williams Rd Se, Suite 101, Cumberland, MD 21502-7960 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981431 | Lana E Grubb | Physician Assistant | 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502-6593 | 2017-06-05 |
| 1609249127 | Jared Lancaster | Physician Assistant | 625 Kent Ave, Suite 102, Cumberland, MD 21502-3794 | 2015-11-05 |
| 1285887133 | Westley Travis Hartley | Physician Assistant | 12502 Willowbrook Rd, Ste 500, Cumberland, MD 21502-6491 | 2008-10-23 |
| 1922094853 | Tracy A Evans | Physician Assistant | 2138 Mendon Rd, Suite 302, Cumberland, RI 02864-3834 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475803 | Kendy Karenys Lopez | Physician Assistant | 18324 Streamside Dr Apt 204, Gaithersburg, MD 20879-5228 | 2019-12-30 |
| 1528619640 | Cindy Pham | Physician Assistant | 7515 Oyster Bay Way, Gaithersburg, MD 20886-5905 | 2019-09-20 |
| 1508336637 | Victor Orlando Hernandez | Physician Assistant | 125 Potomac Psge Unit 200, Oxon Hill, MD 20745-1580 | 2018-12-02 |
| 1164905824 | Surgical Focus LLC | Physician Assistant | 5550 Friendship Blvd Ste 100, Chevy Chase, MD 20815-7294 | 2018-09-10 |
| 1912497173 | Gem Y Walker Lawson | Physician Assistant | 6500 Rock Spring Dr Ste 100, Bethesda, MD 20817-1182 | 2018-05-14 |
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| 1023557618 | Jerome J Upchurch | Physician Assistant | 15811 Chagall Ter, North Potomac, MD 20878-3461 | 2017-02-16 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on MR. MARK PHILLIP FERRIS.
| 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.