DR. MARK ALAN PEDERSON (NPI# 1215045604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215045604 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN PEDERSON |
| Credential | DC |
| Practice Address |
603 N Main Street Warren MN 56762 |
| Practice Telephone | 2187456655 |
| Practice Fax Number | 2187454049 |
| Mailing Telephone | 2187456655 |
| Mailing Fax Number | 2187454049 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3351 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS | 20215 | 01 |
| MN | BCBS | 15F41PE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801994843 | Mark Pederson | Psychologist | 102 Marty Dr, Buffalo, MN 55313 | 2006-09-21 |
| 1063457034 | Mark Newman Pederson | Radiology | 1783 El Camino Real, Burlingame, CA 94010-3205 | 2006-06-16 |
| Street Address |
603 N MAIN STREET |
| City | WARREN |
| State | MN |
| Zip Code | 56762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598875171 | Family Chiropractic of Warren Inc | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881820322 | Marshall County Social Services | Case Manager/Care Coordinator | 208 E Colvin Ave., Suite 14, Warren, MN 56762 | 2009-06-10 |
| 1336151257 | Michelle Marie Woinarowicz | Internal Medicine | 109 S Minnesota St, North Valley Health Center Clinic, Warren, MN 56762 | 2006-08-12 |
| 1003092206 | Anita Whalen | Dentist | 508 North Minnesota Street, Warren, MN 56762-0093 | 2008-01-17 |
| 1871508481 | Warren Pharmacy Inc | Pharmacy | 103 W Johnson Ave, Warren, MN 56762-1102 | 2006-07-30 |
| 1699730036 | Stacey Jean Bienek | Optometrist | 205 W Johnson Ave, Suite 1, Warren, MN 56762-1118 | 2006-04-19 |
| 1053739698 | Lone Oak Family Dentistry | Dentist | 205 W Johnson Ave, Ste. 3, Warren, MN 56762-1118 | 2014-04-01 |
| 1447583778 | Lone Oak Family Dentistry | Exclusive Provider Organization | 205 W Johnson Ave, Suite 3, Warren, MN 56762-1118 | 2009-09-18 |
| 1891995460 | Warren Eye Care, P.C. | Optometrist | 205 W Johnson Ave, Suite #1, Warren, MN 56762-1118 | 2007-07-23 |
| 1942380563 | Travis Hanel | Dentist | 205 W Johnson Ave, Ste 3, Warren, MN 56762-1118 | 2006-10-17 |
| 1801436852 | Addison Allen Knutson | Chiropractor | 603 N Main St, Warren, MN 56762-1122 | 2020-01-07 |
| Find all providers in zip 56762 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
| 1780224584 | Kelly Jo Yergan | Chiropractor | 8872 E Market St, Warren, OH 44484-2350 | 2020-01-09 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1114474715 | Van Dyke Spine Center | Chiropractor | 27423 Van Dyke Avenue, Warren, MI 48093 | 2016-09-01 |
| 1144673278 | Core Chiropractic Center, LLC | Chiropractor | 8098 E Market St Ste 2, Warren, OH 44484-2270 | 2016-07-13 |
| 1073977575 | Elijah M. Frederick Redman | Chiropractor | 31444 Bretz Dr, Warren, MI 48093-1639 | 2016-04-11 |
| 1518331826 | Zachary John Smith | Chiropractor | 327 Pennsylvania Ave W, Warren, PA 16365-2427 | 2015-11-24 |
| 1073983508 | Robert J Gatto Jr Chiropractor PC | Chiropractor | 100 Crescent Park, Warren, PA 16365-2258 | 2015-09-27 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| Find all providers in WARREN | ||||
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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.