MARK ALLEN FANNING (NPI# 1386829281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386829281 |
| Entity Type | Individual |
| Full Name | MARK ALLEN FANNING |
| Credential | SA-C |
| Practice Address |
408 Glennwood Glenn Rose TX 76043 |
| Mailing Address |
408 Glennwood P.o. Box 3129 Glenn Rose TX 76043 |
| Practice Telephone | 2548971445 |
| Mailing Telephone | 2548971445 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
05-144 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
408 GLENNWOOD |
| City | GLENN ROSE |
| State | TX |
| Zip Code | 76043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1235620691 | Charis Psychological Services & Christian Counseling, Pllc | Psychologist | 1100 Fm 56, Glen Rose, TX 76043 | 2018-05-22 |
| 1801125646 | Melinda Gaye Lewis | Counselor | 1104 Hereford St, Glen Rose, TX 76043 | 2009-12-07 |
| 1528291614 | Angela Adams | Pharmacist | 906 N.e. Big Bend Trail, Glen Rose, TX 76043 | 2009-08-24 |
| 1124235353 | Glen Rose Isd | Local Education Agency (LEA) | 201 Allen Lane, Glen Rose, TX 76043 | 2007-05-17 |
| 1558495333 | Schmidt Medical Clinic, Pa | Family Medicine | 1008 N E Big Bend Trl, Glen Rose, TX 76043 | 2007-03-15 |
| 1386712701 | Best Value Pharmacies, Inc. | Pharmacy | 1100 Bluebonnet, Glen Rose, TX 76043 | 2006-12-01 |
| 1497831432 | C Jeffrey Bise | Counselor | 409 Glenwood St., Ste 500, Glen Rose, TX 76043 | 2006-10-31 |
| 1912016106 | County of Somervell | Emergency Medical Technician, Paramedic | 111 Sheppard Street, Glen Rose, TX 76043 | 2006-08-30 |
| 1831100320 | First Lone Star Pharmacy Group,llc | Pharmacy | 906 N.e.big Bend Trail, Glen Rose, TX 76043 | 2006-08-10 |
| Find all providers in zip 76043 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075323 | Irvingverse Iom LLC | Specialist/Technologist, Other | 803 Little Cub Way, Euless, TX 76039 | 2018-12-26 |
| 1346751039 | Sergio Nmn Villarreal | Specialist/Technologist, Other | 3505 San Esteban St, Mission, TX 78572-7509 | 2017-10-20 |
| 1457876864 | Fort Worth Csn Monitoring Pllc | Specialist/Technologist, Other | 3516 Ranch View Ter, Fort Worth, TX 76109-3130 | 2017-08-07 |
| 1124564406 | Laura Lopez | Specialist/Technologist, Other | 5511 Pecan Spgs, Apt#10304, San Antonio, TX 78249-5300 | 2017-01-11 |
| 1366999484 | Paul Espeseth | Specialist/Technologist, Other | 7324 Sw Freeway, Suite 1550, Houston, TX 77074 | 2016-09-07 |
| 1578916052 | Derek Demone Evans | Specialist/Technologist, Other | 1132 Highcrest Dr, Burleson, TX 76028-7464 | 2016-07-19 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1861866915 | Alliance Iom, LLC | Specialist/Technologist, Other | 1801 Royal Ln, 908, Farmers Branch, TX 75229-3179 | 2015-11-30 |
| 1427421874 | Jasmine Payro | Specialist/Technologist, Other | 8657 Star Thistle Dr, Fort Worth, TX 76179-4388 | 2015-11-06 |
| 1275905432 | Synapses Neurowatch Corp | Specialist/Technologist, Other | 111 Boland Street, Ste 211, Ft. Worth, TX 76107-1268 | 2015-10-28 |
| Find all providers with the same taxonomy | ||||
| City | GLENN ROSE |
| Zip Code | 76043 |
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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.