DR. MARK L. MIDENBERG (NPI# 1497850655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497850655 |
| Entity Type | Individual |
| Full Name | DR. MARK L. MIDENBERG |
| Credential | DPM |
| Practice Address |
115 Queensbury Dr Sw Huntsville AL 35802-1501 |
| Practice Telephone | 2568800222 |
| Practice Fax Number | 2568803404 |
| Mailing Telephone | 2568800222 |
| Mailing Fax Number | 2568803404 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
AL116 | AL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS PROVIDER # | 72216 | 01 |
| Street Address |
115 QUEENSBURY DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35802-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659648350 | Mark L. Midenberg | Podiatrist | 115 Queensbury Dr Sw, Huntsville, AL 35802-1501 | 2011-11-23 |
| 1902051592 | Charles Lee M.d. | Family Medicine | 115 Queensbury Dr Sw, Huntsville, AL 35802-1501 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
| 1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
| 1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
| 1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
| 1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| 1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
| 1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
| Find all providers in zip 35802 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659648350 | Mark L. Midenberg | Podiatrist | 115 Queensbury Dr Sw, Huntsville, AL 35802-1501 | 2011-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918748 | Kenneth John Unger | Podiatrist | 1808 7th Ave S # Bdb661, Birmingham, AL 35233-1912 | 2019-08-22 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1437459732 | Coastal Foot Center LLC | Podiatrist | 9912 Dimitrios Ave, Ste 103, Daphne, AL 36526-9569 | 2010-11-02 |
| 1013187152 | Autauga Family Foot Care Clinic | Podiatrist | 660 Mcqueen Smith Rd N, Ste F, Prattville, AL 36066-7559 | 2008-03-05 |
| 1023180882 | Eric Todd Falls | Podiatrist | 2000 Stonegate Trl Ste 112, Vestavia Hls, AL 35242-2237 | 2006-11-15 |
| 1124104708 | Hope S Brustein | Podiatrist | 7112 University Ct, Montgomery, AL 36117-8045 | 2006-10-27 |
| 1164510046 | Elliot Jay Braun | Podiatrist | 1371 Montlimar Dr, Mobile, AL 36609-1645 | 2006-10-10 |
| 1528076023 | Silvia E Garcia-lavin | Podiatrist | 2004 Home Park Trl, 111, Prattville, AL 36066-7779 | 2006-08-03 |
| 1730108093 | Scott Anthony Doherty | Podiatrist | 9971 Airport Blvd, Mobile, AL 36608-9525 | 2006-07-18 |
| 1558343780 | William Scott Rogers Sr. | Podiatrist | 5614 Cottage Hill Rd, Suite A, Mobile, AL 36609-4211 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35802 |
Please comment or provide details below to improve the information on DR. MARK L. MIDENBERG.
| 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.