MARK S GRESLA (NPI# 1467482034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467482034 |
| Entity Type | Individual |
| Full Name | MARK S GRESLA |
| Credential | M.D. |
| Practice Address |
955 High St Suite 3 Decatur IN 46733-2326 |
| Mailing Address |
Po Box 151 Decatur IN 46733-0151 |
| Practice Telephone | 2607242125 |
| Practice Fax Number | 2607243859 |
| Mailing Telephone | 2607242145 |
| Mailing Fax Number | 2607283853 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01034460A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000087488 | 01 |
| IN | NO. IN PHP | 9131 | 01 |
| IN | 100146990A | 05 |
| Street Address |
955 HIGH ST SUITE 3 |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718062 | Keith A Harvey | Family Medicine | 955 High St, Ste 1, Decatur, IN 46733-2361 | 2005-11-24 |
| 1427516103 | Adams County Memorial Hospital | Clinic/Center | 955 High St, Decatur, IN 46733-2360 | 2019-03-12 |
| 1558409698 | Hometown Healthcare PC | Nurse Practitioner | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2007-02-01 |
| 1093741589 | Vera A Cummins | Nurse Practitioner | 955 High St, Suite 3, Decatur, IN 46733-2326 | 2006-06-25 |
| 1528094950 | Adams County Family Practice, P.C. | Family Medicine | 955 High St, Suite 3, Decatur, IN 46733-2326 | 2006-06-25 |
| 1356392955 | Keith A. Harvey Md; PC | Family Medicine | 955 High St, Ste 1, Decatur, IN 46733-2360 | 2006-05-16 |
| 1700866183 | Cameron V Nelson | Family Medicine | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2006-01-20 |
| 1629058698 | Michael E Ainsworth | Family Medicine | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2006-01-18 |
| 1982684965 | Bradley D Boyle | Physician Assistant | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| Find all providers in zip 46733 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170817 | Health-e LLC | Family Medicine | 1466 Country Squire Dr, Decatur, GA 30033-2414 | 2018-10-18 |
| 1548772536 | D'neka Colzie | Family Medicine | 2663 Easterly Pl, Decatur, GA 30035-4004 | 2017-10-30 |
| 1356862551 | Amruta Dutia | Family Medicine | 102 W Kenwood Ave Ste 102, Decatur, IL 62526-4380 | 2017-06-28 |
| 1962938043 | Atlanta Functional & Integrative Medicine | Family Medicine | 2786 N Decatur Rd, Decatur, GA 30033-5928 | 2017-05-10 |
| 1194179341 | Alexander Bryant Mcqueen | Family Medicine | 2422 Danville Rd Sw Ste E, Decatur, AL 35603-4221 | 2016-04-13 |
| 1609259969 | Vitale Medical Inc | Family Medicine | 3290 Memorial Dr Ste B1, Decatur, GA 30032-3400 | 2015-07-06 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1881036879 | Brigitte B. Nahmias | Family Medicine | 114 Mckoy St, Decatur, GA 30030-4346 | 2013-07-19 |
| 1275976094 | Zachary James Shipp | Family Medicine | 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 | 2013-04-11 |
| 1790023497 | Philip Henry Sharkey | Family Medicine | 4666 E Powers Blvd, Decatur, IL 62521-2549 | 2013-01-30 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MARK S GRESLA.
| 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.