MARK WAVRUNEK (NPI# 1194107607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194107607 |
| Entity Type | Individual |
| Full Name | MARK WAVRUNEK |
| Practice Address |
161 Washington Pointe Dr Indianapolis IN 46229-2693 |
| Mailing Address |
3971 Gable Lane Dr Apt 816 Indianapolis IN 46228-6312 |
| Practice Telephone | 3178986624 |
| Mailing Telephone | 9206804065 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 41000333A | IN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
161 WASHINGTON POINTE DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46229-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150124 | Patrice R. Mosley | Registered Nurse | 9385 E Washington St, Indianapolis, IN 46229 | 2018-04-02 |
| 1013424621 | Latasha Fisher | Registered Nurse | 9822 Fulbrook Dr, Indianapolis, IN 46229 | 2018-01-04 |
| 1417324856 | Ourhealth Physicians Group, LLC | Clinic/Center | 9934 E Washington Street, Indianapolis, IN 46229 | 2015-09-01 |
| 1134479470 | Loving Hands Senior Care and Relocation | In Home Supportive Care | 9702 E Washington Ste 400 Pmd 185, Indianapolis, IN 46229 | 2012-09-13 |
| 1902155815 | Planned Parenthood of Indiana Eastside | Clinic/Center | 9385 E. Washington St., Indianapolis, IN 46229 | 2012-09-06 |
| 1407092497 | Amy Katherine Graham | Chiropractor | 11020 E 10th St Ste B, Indianapolis, IN 46229 | 2008-12-23 |
| 1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
| 1487867024 | Holli A H Bowser | Dietitian, Registered | 9660 E Washington St, Indianapolis, IN 46229 | 2007-05-08 |
| 1336361708 | Dental Professionals of Indiana, P.C. | Dentist | 986 North Mitthoeffer, Indianapolis, IN 46229 | 2007-05-03 |
| 1386865558 | Gary Lee Bacon | Dentist | 316 Washington Pointe Drive, Indianapolis, IN 46229 | 2007-05-02 |
| Find all providers in zip 46229 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639300486 | Paul M Kanter | Podiatrist | 348 Woodrow Ave, Indianapolis, IN 46241-0828 | 2009-07-28 |
| 1629208103 | Kenneth P Stumpf | Podiatrist | 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805 | 2009-07-20 |
| 1992960124 | Eugenia C Malenkos | Podiatrist | 1410 West 10th Street, Indianapolis, IN 46202-1616 | 2008-07-28 |
| 1740457555 | Lake Mi Mobile Doctors, P.C. | Podiatrist | 3388 Founders Rd, Suite C, Indianapolis, IN 46268-1443 | 2008-05-12 |
| 1093988263 | Jeremy Patrick Spaulding | Podiatrist | 8128 E Washington St, Indianapolis, IN 46219-6814 | 2008-04-09 |
| 1306018767 | Robert S. Mandresh Dpm PC Inc | Podiatrist | 8330 Naab Rd Ste 135, Indianapolis, IN 46260-1932 | 2008-03-26 |
| 1285837773 | Beech Grove Foot Care Inc | Podiatrist | 7855 S. Emerson Ave, Suite T, Indianapolis, IN 46237 | 2007-06-11 |
| 1366589467 | Indianapolis Osteopathic Hospital Inc. | Podiatrist | 3520 Guion Rd Suite 204, Indianapolis, IN 46222 | 2007-01-30 |
| 1447329826 | Thomas Wayne Zunica | Podiatrist | 3901 Meadows Dr, Indianapolis, IN 46205-3113 | 2006-11-07 |
| 1083710099 | Mark Howard Schlichter | Podiatrist | 7412 Rockville Rd, Ste. A, Indianapolis, IN 46214-3097 | 2006-09-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46229 |
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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.