MARK D WALSH (NPI# 1265473813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265473813 |
| Entity Type | Individual |
| Full Name | MARK D WALSH |
| Credential | MD |
| Practice Address |
7611 Hwy 76 Suite C Pendleton SC 29670 |
| Practice Telephone | 8645465570 |
| Practice Fax Number | 8645465571 |
| Mailing Telephone | 8645465570 |
| Mailing Fax Number | 8645465571 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20774 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | 080145957 | 01 |
| SC | 207742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427581065 | Mark J. Walsh | Dentist | 4s615 Karns Rd, Naperville, IL 60563-1508 | 2017-04-11 |
| 1891901484 | Mark Edward Walsh | Chiropractor | 7305 N Alta Ave, Portland, OR 97203-4807 | 2007-05-14 |
| 1003952318 | Mark Kim Walsh | Ophthalmology | 6561 E. Carondelet Dr., Tucson, AZ 85710-2161 | 2007-01-30 |
| 1174513675 | Mark Walsh | Physical Medicine & Rehabilitation | 1623 Morgantown Rd, Reading, PA 19607-9455 | 2005-10-26 |
| 1427048099 | Mark M Walsh | Emergency Medicine | 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | 2005-10-25 |
| 1508866906 | Mark Thomas Walsh | Physical Therapist | 24 Macarthur Blvd., Somers Point, NJ 08244 | 2005-07-28 |
| 1033425608 | Mark Walsh | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Ml 5018, Cincinnati, OH 45229-3039 | 2010-08-20 |
| 1093850737 | Mark David Walsh | Psychiatry & Neurology | 106 Milford St, Suite 306, Salisbury, MD 21804-6962 | 2007-02-20 |
| 1144376724 | Mark Walsh Jr. | Plastic Surgery | 550 Peachtree St Ne, 8th Floor, Suite 4300, Atlanta, GA 30308-2208 | 2007-01-26 |
| 1346215613 | Mark J Walsh | Internal Medicine | 75 Sylvania Dr, Dayton, OH 45440-3237 | 2006-02-21 |
| Street Address |
7611 HWY 76 SUITE C |
| City | PENDLETON |
| State | SC |
| Zip Code | 29670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518302108 | Imc of South Carolina | Physical Therapist | 6301 Hwy 76, Pendleton, SC 29670 | 2013-05-08 |
| 1154475283 | Arthur Laurens Bruce | Dentist | 896 S Mechanic Street, Pendleton, SC 29670 | 2007-01-23 |
| 1700942505 | Vasantha Rao | Dentist | 6260 Hwy 76, Shobha Dental Care Center, Pendleton, SC 29670 | 2006-12-28 |
| 1710963244 | Pendleton Area Rescue Squad | Ambulance | 1 Depot Street, Pendleton, SC 29670 | 2005-12-16 |
| 1316933559 | Lawrence E Stroud Jr. | Internal Medicine | 2229 Old Greenville Hwy, Pendleton, SC 29670 | 2005-09-22 |
| 1912256801 | Gregory Martin Bauld | Pharmacist | 7647 Highway 76, Pendleton, SC 29670 | 2012-09-06 |
| 1891827614 | Mark Curtis Stamey | Dentist | 216 East Main Street, Pendleton, SC 29670 | 2007-03-09 |
| 1942275649 | Anderson School District Four | Local Education Agency (LEA) | 315 E Queen St, Pendleton, SC 29670-0545 | 2006-02-17 |
| 1487991501 | Anderson District 4 | Registered Nurse | 458 Riverside St, Pendleton, SC 29670-1211 | 2013-01-09 |
| 1558608455 | Heidi Brooks Mccaulley | Registered Nurse | 458 Riverside St, Pendleton, SC 29670-1211 | 2013-01-11 |
| Find all providers in zip 29670 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1649449166 | Manpreet Multani | Family Medicine | 3041 W Us Highway 36, Pendleton, IN 46064-9280 | 2008-02-28 |
| 1861675456 | Anmed Health | Family Medicine | 1005 Meehan Way, Pendleton, SC 29670-1824 | 2007-12-06 |
| 1841207255 | Eric C Jones | Family Medicine | 138 W State St, Pendleton, IN 46064-1034 | 2006-08-01 |
| 1346261971 | Community Hospitals of Indiana Inc | Family Medicine | 1251 Huntzinger Blvd, Suite 100, Pendleton, IN 46064-9493 | 2006-07-21 |
| 1790705259 | Pendleton Family Practice, LLC | Family Medicine | 101 Shirley St, Pendleton, SC 29670-1824 | 2006-07-20 |
| 1104846351 | Robert G Johnson Jr. | Family Medicine | 2450 Sw Perkins Ave, Pendleton, OR 97801 | 2006-07-20 |
| 1548299233 | Gary A Wright | Family Medicine | 75 Village Dr, Pendleton, IN 46064-8960 | 2006-07-03 |
| 1619911757 | Traci A Anderson | Family Medicine | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064-9404 | 2006-06-16 |
| Find all providers in PENDLETON | ||||
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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.