MARK D EARLL (NPI# 1114024940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114024940 |
| Entity Type | Individual |
| Full Name | MARK D EARLL |
| Credential | MD |
| Practice Address |
3501 Cranberry Blvd Weston WI 54476 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
| Practice Telephone | 7153875202 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 42226 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33348900 | 05 |
| Street Address |
3501 CRANBERRY BLVD |
| City | WESTON |
| State | WI |
| Zip Code | 54476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500718 | William J Moran | Otolaryngology | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2005-07-07 |
| 1356956015 | Stacey Lee Meyer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-09-10 |
| 1992336655 | Mchs Hospitals, Inc. | Clinic/Center | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2020-01-31 |
| 1548804511 | Alyssa Anne Hovda | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2019-11-03 |
| 1144875824 | Rebecca Ann Kollross | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476 | 2019-08-08 |
| 1891266060 | Laura Lauer | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-12-16 |
| 1356816201 | Khamal Misra | Nurse Practitioner | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-10-08 |
| 1164915971 | Crystal Farrand | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2018-06-07 |
| 1336663863 | Elijah Blair | Physician Assistant | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2017-07-26 |
| 1275915597 | Kari Mizgalski | Dietitian, Registered | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396014080 | Alexander Stewart Foltz | Orthopaedic Surgery | 3304 Bellagio Dr, Weston, WI 54476-6713 | 2011-12-24 |
| 1922392851 | Stonewall Jackson Memorial Hospital Company | Orthopaedic Surgery | 29 Hospital Plz Ste C, Weston, WV 26452-8471 | 2011-06-08 |
| 1124149356 | Subramanyan Jayasankar | Orthopaedic Surgery | 74 Country Dr, Weston, MA 02493-1165 | 2007-04-03 |
| 1235163916 | Robert Stephan Ennis | Orthopaedic Surgery | 3455 Stallion Ln, Weston, FL 33331-3035 | 2006-07-10 |
| 1134164866 | Daniel A Sheldon Md Pa | Orthopaedic Surgery | 1855 N Corporate Lakes Blvd, Weston, FL 33326-3211 | 2006-06-17 |
| 1851361299 | Alfred Alexander Desimone | Orthopaedic Surgery | 1600 Town Center Blvd, Suite C, Weston, FL 33326 | 2006-01-26 |
| 1790223527 | Jorge Manrique | Orthopaedic Surgery | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2017-01-31 |
| 1841451226 | Stonewall Jackson Memorial Hospital | Orthopaedic Surgery | 29 Hospital Plz, Suite C, Weston, WV 26452-8470 | 2008-06-19 |
| 1679731467 | Shafic Abdullah Sraj | Orthopaedic Surgery | 29 Hospital Plz, Ste C, Weston, WV 26452-8470 | 2008-05-28 |
| 1609062157 | Doyle Russell Sickles | Orthopaedic Surgery | 29 Hospital Plz, Suite C, Weston, WV 26452-8470 | 2007-09-19 |
| Find all providers in WESTON | ||||
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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.