MARK ALAN TUDOR (NPI# 1326172149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326172149 |
| Entity Type | Individual |
| Full Name | MARK ALAN TUDOR |
| Credential | LAT |
| Practice Address |
1650 Lee Ln Beloit WI 53511-3935 |
| Mailing Address |
2223 Alongi Ln Ste M Beloit WI 53511-2393 |
| Practice Telephone | 6083658660 |
| Practice Fax Number | 6083656342 |
| Mailing Telephone | 6083658660 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
334-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1650 LEE LN |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265955025 | Thinh B Truong | Physical Therapist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2017-07-24 |
| 1871952945 | Justin D. Johnson | Occupational Therapist | 1650 Lee Ln, Occupational Health and Sports & Family Medicine Center, Beloit, WI 53511-3935 | 2016-02-18 |
| 1497161491 | Tara Holycross | Specialist/Technologist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2014-07-10 |
| 1124376892 | Nathaniel S Bothfeld | Physical Therapist | 1650 Lee Ln, Occupation Health Ports & Family Medicine Center, Beloit, WI 53511-3935 | 2012-08-28 |
| 1912199340 | Beloit Health System, Inc | Internal Medicine | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-08-09 |
| 1346362068 | Beloit Memorial Hospital, Inc | Clinic/Center | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-04-04 |
| 1437274115 | Beloit Clinic, S.c. | Preventive Medicine | 1650 Lee Ln, Beloit, WI 53511-3935 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781267 | Seth James Smith | Specialist/Technologist | 857 E Dogwood Dr, Beloit, WI 53511-1735 | 2020-02-10 |
| 1639559503 | Patricia Estock | Specialist/Technologist | 1194 Georgetown Damascus Rd, Beloit, OH 44609-9498 | 2015-06-04 |
| 1316014731 | Beth Ann Pouk | Specialist/Technologist | 2294 Pioneer Dr, Beloit, WI 53511-2547 | 2006-11-29 |
| 1881090785 | Leah Keyes | Specialist/Technologist | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2014-11-05 |
| 1497161491 | Tara Holycross | Specialist/Technologist | 1650 Lee Ln, Beloit, WI 53511-3935 | 2014-07-10 |
| 1669549085 | Andrew Peter Wier | Specialist/Technologist | 2825 Prairie Ave, Beloit, WI 53511-1844 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657329 | Tyler John Friis | Specialist/Technologist | 1514 E Keystone Ln, Appleton, WI 54913-7162 | 2020-10-21 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1770198699 | Tanner Sterling | Specialist/Technologist | 2538 E Garrison Rd, Foxboro, WI 54836-9507 | 2020-09-09 |
| 1922626670 | Eric William Brostrom | Specialist/Technologist | 3305 Lilly Rd, Brookfield, WI 53005-7608 | 2020-07-09 |
| 1174146690 | Brycen Valiga | Specialist/Technologist | 4477 S 113th St, Greenfield, WI 53228-2566 | 2020-05-19 |
| 1104448307 | Xeing Randy Yang | Specialist/Technologist | 2207 Namekagon St, Hudson, WI 54016-9426 | 2020-05-11 |
| 1073134615 | Brian Wood | Specialist/Technologist | 1950 Washington St, Grafton, WI 53024-2103 | 2020-05-06 |
| 1124649751 | Cody Scott Tesch | Specialist/Technologist | 6680 N Teutonia Ave, Milwaukee, WI 53209-3117 | 2020-05-05 |
| 1659992642 | Kelley Potila | Specialist/Technologist | 255 Maggilu Ct, Jefferson, WI 53549-2095 | 2020-04-30 |
| 1366070708 | Claire Duwell | Specialist/Technologist | 9111 W Bluemound Rd, Milwaukee, WI 53226-4506 | 2020-03-31 |
| 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.