DR. MARK WILLIAM JENNINGS (NPI# 1396124988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396124988 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM JENNINGS |
| Credential | M.D. |
| Practice Address |
2800 Main St Bridgeport CT 06606-4201 |
| Mailing Address |
330 Brookline Ave # Fd-221 Boston MA 02215-5491 |
| Practice Telephone | 2035766000 |
| Mailing Telephone | 6074268112 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2019-01-07 |
| 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 |
|---|---|---|---|---|
| 1437314002 | Mark Jennings | Case Manager/Care Coordinator | 303 Horseshoe Dr, Goldsboro, NC 27534-8715 | 2008-07-23 |
| 1598713166 | Mark Oliver Jennings | Psychiatry & Neurology | 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 | 2006-05-05 |
| 1578538955 | Mark R Jennings | Surgery | 3300 Mercy Health Blvd Ste 2010, Cincinnati, OH 45211-1103 | 2006-02-21 |
| 1356315246 | Mark Jennings | Neuromusculoskeletal Medicine & OMM | Pediatric Neurology, 515 Ne Glen Oak #308, Peoria, IL 61603 | 2006-02-15 |
| 1336379783 | Mark Byron Jennings | Internal Medicine | 1105 Central Expy N Ste 235, Allen, TX 75013-6135 | 2009-07-20 |
| 1164682688 | Mark Thomas Jennings | Internal Medicine | 1830 E Monument St, 5th Floor, Baltimore, MD 21287-0020 | 2008-06-10 |
| 1003915539 | Mark Randall Jennings | Internal Medicine | 2015 Jackson St, Anderson, IN 46016-4337 | 2006-09-21 |
| Street Address |
2800 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678227 | Stuart Marcus | Surgery | 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 | 2005-09-09 |
| 1134733074 | Jessica Anne Mcdonald | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-08 |
| 1720692874 | Patricia A Hardy | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-05 |
| 1083227920 | Richard Magee | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-08-29 |
| 1083223903 | Victoria Piacquadio | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-07-27 |
| 1972120509 | Svmc Holdings, Inc | Pharmacy | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-06-30 |
| 1083237168 | Ranji Raju | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-22 |
| 1437771698 | Michaela Anne Paduch | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-11 |
| 1376162982 | Lyndsay Hauser | Student in an Organized Health Care Education/Training Program | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-04-14 |
| 1851938435 | Kaitlyn Mccarthy | Pharmacist | 2800 Main St, Bridgeport, CT 06606-4201 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1639674120 | Wesley Nilsson | Student in an Organized Health Care Education/Training Program | 267 Grant St Dept Of, Bridgeport, CT 06610-2805 | 2018-03-27 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.