DR. MARK GEORGE PATTERSON (NPI# 1396105631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396105631 |
| Entity Type | Individual |
| Full Name | DR. MARK GEORGE PATTERSON |
| Credential | D.O. |
| Practice Address |
515 22nd Ave Monroe WI 53566-1569 |
| Mailing Address |
5251 Boulder Dr Apt. C West Des Moines IA 50265-7821 |
| Practice Telephone | 6083241518 |
| Mailing Telephone | 8152459020 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1922179647 | Mark Douglas Patterson | Chiropractor | 1260 Iroquois Ave, Suite110, Naperville, IL 60563-1689 | 2006-11-13 |
| 1063590677 | Mark Allen Patterson | Obstetrics & Gynecology | 2657 Saklan Indian Dr Apt 2, Walnut Creek, CA 94595-3026 | 2006-11-01 |
| 1437145497 | Mark D Patterson | Surgery | 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745-4286 | 2005-09-26 |
| 1275536831 | Mark Kenneth Patterson | Pediatrics | 4040 Postal Dr, Roanoke, VA 24018-6438 | 2005-05-27 |
| 1902220155 | Mark Patterson | Case Manager/Care Coordinator | 500 Victory Rd, Quincy, MA 02171-3139 | 2014-02-08 |
| 1144513789 | Mark A Patterson Sr. | Chiropractor | 1010 N Tennessee St, Suite 116, Cartersville, GA 30120-8525 | 2011-05-16 |
| 1992914402 | Mark Patterson | Specialist | 2045 Franklin St, Denver, CO 80205-5437 | 2007-05-21 |
| 1942317276 | Mark Lewis Patterson | Family Medicine | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-08-24 |
| 1770503138 | Mark A Patterson | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-20 |
| Street Address |
515 22ND AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354553 | Mark W. Collar | Anesthesiology | 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 | 2005-11-23 |
| 1316546724 | Melissa Anne Anderson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-19 |
| 1356949382 | Olivia Caroline Lemanski | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-12 |
| 1023620382 | Katelyn Rebecca Marie Neverman | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-08-18 |
| 1619586393 | Lauren Marie Shawl | Social Worker | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-28 |
| 1508484676 | Ashley Moore | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-06 |
| 1164043584 | Erica Yumi Yamamoto | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-04-27 |
| 1982231668 | Scott Soja | Specialist/Technologist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-24 |
| 1942835707 | Daniel Douglas Troutner | Physician Assistant | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-11 |
| 1649817222 | Samuel A. Cook | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1588293179 | John Braxton Phifer | Student in an Organized Health Care Education/Training Program | 7005 Fairview Ct, Monroe, NC 28110-8922 | 2020-04-06 |
| 1215588009 | Micaela Earle Kwochka | Student in an Organized Health Care Education/Training Program | 17 Sunrise Ter, Monroe, CT 06468-2925 | 2019-09-24 |
| 1346705407 | Jaclyn Ketterer | Student in an Organized Health Care Education/Training Program | 394 Old Dutch Hollow Rd, Monroe, NY 10950-4575 | 2019-02-04 |
| 1659860922 | Sonia Victoria Altavilla | Student in an Organized Health Care Education/Training Program | 246 Barn Hill Rd, Monroe, CT 06468-2015 | 2018-05-02 |
| 1477086254 | Mina Siddiqui | Student in an Organized Health Care Education/Training Program | 15 Del Mar Way, Monroe, NJ 08831-5823 | 2017-04-07 |
| 1346780384 | Amanda Vojta | Student in an Organized Health Care Education/Training Program | 9 Roanoke Dr, Monroe, NY 10950-2207 | 2017-02-23 |
| 1518326628 | Stephen Amburgey | Student in an Organized Health Care Education/Training Program | 221 Bethel Ln, Monroe, VA 24574-3114 | 2016-02-17 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1336418466 | Ashley Breanne Karow | Student in an Organized Health Care Education/Training Program | 3220 Parkwood School Rd, Monroe, NC 28112-0001 | 2011-12-19 |
| Find all providers in MONROE | ||||
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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.