DR. MARK A MARTINDALE (NPI# 1205911849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205911849 |
| Entity Type | Individual |
| Full Name | DR. MARK A MARTINDALE |
| Credential | M.D. |
| Practice Address |
5 Medical Park Dr Suite 102a Benton AR 72015-3729 |
| Mailing Address |
105 Mcneil St Suite 102a Benton AR 72015-3345 |
| Practice Telephone | 5013151222 |
| Practice Fax Number | 5013151222 |
| Mailing Telephone | 5013151222 |
| Mailing Fax Number | 5013151222 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C7310 | AR | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | C7310 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 119185001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659555811 | Mark Martindale | Dentist | 1528 Lucky St, Griffin, GA 30223-1176 | 2007-12-24 |
| 1508416785 | Mark Christopher Martindale | Physician Assistant | 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2019-09-18 |
| 1134226723 | Mark W Martindale | Optometrist | 201 N Main St, Ripley, MS 38663-2027 | 2006-09-17 |
| Street Address |
5 MEDICAL PARK DR SUITE 102A |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690523 | Saline Women's Group | Obstetrics & Gynecology | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2005-12-16 |
| 1205280138 | Central Arkansas Spine Specialist | Durable Medical Equipment & Medical Supplies | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2016-04-18 |
| 1538522347 | Central Arkansas Spine Specialists | Orthopaedic Surgery | 5 Medical Park Dr, Ste 308, Benton, AR 72015-3729 | 2016-03-30 |
| 1033507439 | Epoch Health- Benton, Pllc. | General Practice | 5 Medical Park Dr, Benton, AR 72015-3729 | 2015-01-07 |
| 1881007466 | Cynthia Martindale | Pharmacist | 5 Medical Park Dr, Suite 102a, Benton, AR 72015-3729 | 2014-06-11 |
| 1538410147 | Saline Physician Services, LLC | Internal Medicine | 5 Medical Park Dr, Suite 305, Benton, AR 72015-3729 | 2012-09-21 |
| 1568718633 | Saline Physician Services, LLC | Internal Medicine | 5 Medical Park Dr, Suite 305, Benton, AR 72015-3729 | 2012-07-26 |
| 1558678276 | Saline Physician Services, LLC | Surgery | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2010-09-01 |
| 1134454952 | Kim N Smith M.d.p.a. | Specialist | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2009-10-13 |
| 1770745523 | Kristin Patton | Surgery | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 | 2008-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1750927109 | Inpatient Solutions | Internal Medicine | 107 Turtle Creek Rd, Benton, AR 72015-6466 | 2019-11-20 |
| 1902143910 | National Healthcare of Mt Vernon Inc | Internal Medicine | 905 W Washington St, Suite A, Benton, IL 62812-1649 | 2013-01-10 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1306810171 | Deborah Sharon Quade | Internal Medicine | 2519 Military Rd, Suite B, Benton, AR 72015-2498 | 2006-02-16 |
| 1568434843 | Kenneth B King | Internal Medicine | 500 George Mcclain Drive, Benton, KY 42025 | 2006-02-02 |
| 1619947264 | Saeed Ahmad Khan | Internal Medicine | 205 Bailey Lane, Benton, IL 62812-1921 | 2006-01-25 |
| 1720082530 | David M Persson | Internal Medicine | 5 Medical Park Dr Ste 203, Benton, AR 72015-3732 | 2005-06-09 |
| 1043563398 | Adam Huang | Internal Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2012-10-24 |
| 1033405824 | Ahmad Javed Yousaf | Internal Medicine | 1 Medical Park Dr, Benton, AR 72015-3353 | 2011-06-21 |
| 1598057549 | Christina Michelle Brown | Internal Medicine | 617 Old Symsonia Rd, Benton, KY 42025-5042 | 2011-05-10 |
| Find all providers in BENTON | ||||
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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.