MARK W. GREENWELL (NPI# 1184681371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184681371 |
| Entity Type | Individual |
| Full Name | MARK W. GREENWELL |
| Credential | M.D. |
| Practice Address |
635 Stone Ave Paris TX 75460-9342 |
| Practice Telephone | 9037853300 |
| Practice Fax Number | 9037853310 |
| Mailing Telephone | 9037853300 |
| Mailing Fax Number | 9037853310 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
29498 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
P3725 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3058059-01 | 05 | |
| OK | 200452580 A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770871014 | Mark Damian Greenwell | Pharmacist | 13440 Nc 210 Highway, Benson, NC 27504 | 2011-07-20 |
| 1730299074 | Mark G Greenwell | Family Medicine | 526 W Genesee St, Unit #3, Frankenmuth, MI 48734-1701 | 2006-08-30 |
| 1821049131 | Mark Dennis Greenwell | Optometrist | 601 Galvin Rd S, Bellevue, NE 68005-2249 | 2006-05-12 |
| Street Address |
635 STONE AVE |
| City | PARIS |
| State | TX |
| Zip Code | 75460-9342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962066688 | Tanganyika Lynn Dudley | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2019-04-29 |
| 1447776539 | Deborah Jo Elmore | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2017-08-21 |
| 1528593472 | Nikki Shannon Johnston | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2017-04-28 |
| 1205261781 | Armando Aponte Velez | Internal Medicine | 635 Stone Ave, Paris, TX 75460-9342 | 2013-09-04 |
| 1083983316 | Amy Jolley | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2011-12-15 |
| 1720363344 | Paula Leann Gaston | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2011-10-14 |
| 1326266552 | Northeast Texas Primary Care, Pa | Internal Medicine | 635 Stone Ave, Paris, TX 75460-9303 | 2007-04-23 |
| 1659395911 | Arlene Faye Roberts | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9303 | 2006-07-27 |
| 1952359200 | Danise A Petticrew | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396840849 | Wasey Jabbar | Internal Medicine | 870 Ne Loop 286, Paris, TX 75460-2134 | 2006-09-13 |
| 1205261781 | Armando Aponte Velez | Internal Medicine | 635 Stone Ave, Paris, TX 75460-9342 | 2013-09-04 |
| 1427314608 | Kidney Disease and Dialysis Associates, Pa | Internal Medicine | 870 Ne Loop 286, Paris, TX 75460-2134 | 2012-04-02 |
| 1598999062 | Esther Orieaku Iheukwumere | Internal Medicine | 1055 Clarksville St, Suite 160, Paris, TX 75460-6097 | 2009-05-12 |
| 1841492618 | Samad Ahmed Jabbar | Internal Medicine | 870 Ne Loop 286, Paris, TX 75460-2134 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
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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.