MR. MARK DANIEL MINTON (NPI# 1376788521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376788521 |
| Entity Type | Individual |
| Full Name | MR. MARK DANIEL MINTON |
| Credential | PA-C |
| Practice Address |
1504 Springhill Ave Mobile AL 36604-3207 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514343915 |
| Practice Fax Number | 2514343802 |
| Mailing Telephone | 2514705842 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-621 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1504 SPRINGHILL AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831191113 | Oliver Laurence Ezell | Physician Assistant | 1504 Springhill Ave, Ste 1365, Mobile, AL 36604-3207 | 2005-06-01 |
| 1245511237 | Murali Aala Basavraja Reddy | Student in an Organized Health Care Education/Training Program | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2011-09-02 |
| 1619265840 | Mohammed Ali Almannai | Pediatrics | 1504 Springhill Ave, Children's Medical Center, Mobile, AL 36604-3207 | 2011-07-21 |
| 1194038067 | Pon Trairatvorakul | Student in an Organized Health Care Education/Training Program | 1504 Springhill Ave, Children's Medical Center, Mobile, AL 36604-3207 | 2010-07-21 |
| 1174757314 | Casey Reed Wylie | Student in an Organized Health Care Education/Training Program | 1504 Springhill Ave, Room 3414, Mobile, AL 36604-3207 | 2009-05-02 |
| 1134372006 | Kelly Diantha Estle | Social Worker | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2008-10-23 |
| 1710139001 | Susan Miller Guillory | Social Worker | 1504 Springhill Ave, Mobile, AL 36604-3207 | 2008-10-17 |
| 1003086521 | Robert Bettencourt | Family Medicine | 1504 Springhill Ave, Ste 1800, Mobile, AL 36604-3207 | 2008-03-11 |
| 1003015678 | Jennifer Shana Diamond Currie | Pediatrics | 1504 Springhill Ave, Suite 1600, Mobile, AL 36604-3207 | 2007-07-13 |
| 1104952258 | Suzanne Dasher Stuckey | Pediatrics | 1504 Springhill Ave, Suite 1600, Mobile, AL 36604-3207 | 2007-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| 1588291785 | Lakendra Chevoyn Wiley | Physician Assistant | 320 Stanton Rd Apt 235, Mobile, AL 36617-2449 | 2020-03-26 |
| 1053958785 | Courtney Teal Schmerbauch | Physician Assistant | 3715 Dauphin St Ste 1100, Mobile, AL 36608-1785 | 2019-12-02 |
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1699296145 | Jessica A Kantrales | Physician Assistant | 101 Memorial Hospital Dr Ste 200, Mobile, AL 36608-1787 | 2017-07-05 |
| 1730572835 | Allison Hinson | Physician Assistant | 600 Clinic Dr Ste 332, Mobile, AL 36688-0001 | 2015-03-13 |
| 1467701474 | Angela Dugger | Physician Assistant | 610 Providence Park Dr E Ste 102, Mobile, AL 36695-4618 | 2012-09-05 |
| 1598775330 | Myrtle Olivia Stephens | Physician Assistant | 117 Mohawk St, Mobile, AL 36606-1941 | 2006-08-08 |
| 1063488153 | Diane Dixon Abercrombie | Physician Assistant | 307 University Blvd., Hsb Suite 1200, Mobile, AL 36688-0001 | 2006-02-27 |
| Find all providers in MOBILE | ||||
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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.