MARK STEVEN MEHLFERBER (NPI# 1487724936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487724936 |
| Entity Type | Individual |
| Full Name | MARK STEVEN MEHLFERBER |
| Credential | PAC |
| Practice Address |
320 Bristol West Blvd Ste 2b Bristol TN 37620-8765 |
| Mailing Address |
Po Box 17016 Bristol VA 24209-7016 |
| Practice Telephone | 4238446407 |
| Practice Fax Number | 8662855248 |
| Mailing Telephone | 4238446407 |
| Mailing Fax Number | 8662855248 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
P14842 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TNP14842 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC & BS MEDICAL | 4107899 | 01 |
| TN | BC & BS SURGICAL | 4107910 | 01 |
| TN | JOHN DEERE | TN0103 | 01 |
| Street Address |
320 BRISTOL WEST BLVD STE 2B |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-8765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124051750 | Antonio Santoro | Physician Assistant | Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 | 2006-07-08 |
| 1457353005 | Mark Tabaka | Physician Assistant | 576 Farmington Ave, Bristol, CT 06010-3933 | 2005-08-12 |
| 1497265573 | Brianna Galligan | Physician Assistant | 501 Bath Rd, Bristol, PA 19007-3101 | 2017-10-03 |
| 1578087375 | Hilda M Boateng | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2017-08-02 |
| 1669822532 | Kristin Somerville | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2016-06-21 |
| 1467801605 | Kayla Nicole Kennedy | Physician Assistant | 22 Pine St, Suite 104, Bristol, CT 06010-6948 | 2016-06-08 |
| 1447604954 | Carys Roberts | Physician Assistant | 501 Bath Rd, Bristol, PA 19007-3101 | 2016-04-20 |
| 1437565553 | Daniel P Tuohey | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2014-07-09 |
| 1427486380 | Jaret Williams | Physician Assistant | 539 Farmington Ave, Bristol, CT 06010-3931 | 2013-10-30 |
| 1417389735 | Richard B Ahrens Jr. | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2013-08-09 |
| Find all providers in BRISTOL | ||||
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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.