MARK C AUSTIN (NPI# 1487697959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487697959 |
| Entity Type | Individual |
| Full Name | MARK C AUSTIN |
| Credential | MD |
| Practice Address |
1301 E Northland Ave Ste A Appleton WI 54911-8426 |
| Practice Telephone | 9207348714 |
| Practice Fax Number | 9207348785 |
| Mailing Telephone | 9207348714 |
| Mailing Fax Number | 9207348785 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 33602 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | 180030240 | 01 |
| WI | 32890500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356840953 | Mark Austin | Social Worker | 155 Cougar Dr, Manchester, CT 06040-6380 | 2018-02-08 |
| 1225475395 | Mark Austin | Dentist | 2100 Se 164th Ave., Suite D102, Vancouver, WA 98683 | 2013-05-30 |
| 1457427924 | Mark Christopher Austin | Dentist | 2001 S. Baxter Drive, Leland, NC 28451-9999 | 2006-11-28 |
| 1780754127 | Mark Austin | Preventive Medicine | 500 Lincoln Dr Ste D, Herrin, IL 62948-6355 | 2006-11-09 |
| 1467447268 | Mark B Austin | Pathology | 6810 Reliable Pkwy, Chicago, IL 60686-0001 | 2005-09-19 |
| 1538699152 | Mark Austin | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5048 | 2017-06-15 |
| 1053690784 | Mark Austin | Counselor | 374 Grand Ave, New Haven, CT 06513-3733 | 2011-08-11 |
| 1013987908 | Mark Wayne Austin | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2006-01-24 |
| 1225017098 | Mark John Austin | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-01-11 |
| Street Address |
1301 E NORTHLAND AVE STE A |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711491 | Timothy Kevin Tougas | Podiatrist | 1301 E Northland Ave, Suite B, Appleton, WI 54911-8582 | 2005-06-22 |
| 1023105772 | Paul K Thompson | Optometrist | 1301 E Northland Ave, Suite A, Appleton, WI 54911-8582 | 2006-10-06 |
| 1053359992 | Eyewear Specialists, Inc | Eyewear Supplier (Equipment, not the service) | 1301 E Northland Ave, Ste A, Appleton, WI 54911-8426 | 2006-06-03 |
| 1093716177 | Northeast Wisconsin Foot and Ankle Assoc., S.c. | Podiatrist | 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | 2005-08-10 |
| 1043210594 | Theresa Lynn Schinke | Podiatrist | 1301 E Northland Ave, Ste B, Appleton, WI 54911-8426 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982788030 | Avery Delvin Alexander | Ophthalmology | 250 N Metro Drive, Alexander Eye Institute, Appleton, WI 54913 | 2006-10-25 |
| 1316969363 | Fox Cities Eye Clinic, Sc | Ophthalmology | 1301 E Northland Ave Ste A, Appleton, WI 54911-8582 | 2006-07-25 |
| 1285674655 | Marvin L Hall | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-07 |
| 1164416160 | Kathy A Vogel | Ophthalmology | 1411 N Briarcliff Dr, Appleton, WI 54915-2842 | 2005-09-06 |
| 1033373600 | Douglas Francis Salm | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2008-07-14 |
| 1740317841 | Alexander Eye Institute, Sc | Ophthalmology | 250 N Metro Drive, Appleton, WI 54913-8571 | 2007-02-27 |
| 1447347190 | Robert D Sullivan | Ophthalmology | 1195 N Casaloma Dr, Appleton, WI 54913-9295 | 2006-10-06 |
| 1528078011 | Colleen Corbett | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-08-08 |
| 1699789032 | Valley Eye Associates | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-07-29 |
| 1750319448 | James Carter Syverud | Ophthalmology | 21 Park Pl, Appleton, WI 54914-8872 | 2006-06-29 |
| Find all providers in APPLETON | ||||
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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.