MARK PERRY (NPI# 1508429325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508429325 |
Entity Type | Individual |
Full Name | MARK PERRY |
Credential | PRS |
Practice Address |
111 S Broad St Ste 209 Lancaster OH 43130-4383 |
Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
Practice Telephone | 4402608300 |
Mailing Telephone | 4402342006 |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | OH | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477115970 | Mark Steven Perry | Counselor | 4949 Terry Dr, Ventura, CA 93003-2030 | 2019-07-03 |
1386051266 | Mark Perry | Dentist | 3722 Clark Xing, Martinez, GA 30907-4934 | 2014-07-12 |
1457776536 | Mark Eldon Perry | Marriage & Family Therapist | 66 Trowbridge Pl, Naugatuck, CT 06770-3914 | 2014-02-25 |
1720204803 | Mark Clawson Perry | Dentist | 8412 83rd Ave Sw, Lakewood, WA 98498-6074 | 2007-04-17 |
1942267414 | Mark E Perry | Optometrist | 400 N Bumby Ave, Orlando, FL 32803-6028 | 2006-04-28 |
1285997734 | Mark Edmund Perry | Surgery | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2012-06-20 |
1710201165 | Mark D Perry | Pharmacist | 4401 Vestal Pkwy E, Vestal, NY 13850-3514 | 2010-03-15 |
1992974091 | Mark H Perry | Pharmacist | 175 Emery Hwy, Macon, GA 31217-3692 | 2008-02-22 |
1013198423 | Mark Perry | Dentist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-11-14 |
1962629220 | Mark Austin Perry | Dentist | 110 Cherry St, Darlington, SC 29532-3904 | 2007-04-19 |
Street Address |
111 S BROAD ST STE 209 |
City | LANCASTER |
State | OH |
Zip Code | 43130-4383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538206545 | Melanie Marie Perkins-fairbanks | Nurse Practitioner | 111 S Broad St Ste 209, Lancaster, OH 43130 | 2007-01-31 |
1932714847 | Kaitlyn Urbaniak | Community Health Worker | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2020-09-09 |
1164069365 | Kari N Buehler | Registered Nurse | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-12-06 |
1114577327 | David Paul Sherman | Counselor | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-09-19 |
1497315212 | Rachel Elizabeth Dannenhauer | Community Health Worker | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-06-14 |
1760048722 | Susannah Rauch | Social Worker | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-05-15 |
1750945267 | Mellissa Masten | Case Manager/Care Coordinator | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-04-30 |
1609332105 | Adam Farley | Case Manager/Care Coordinator | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-02-20 |
1710441530 | Alison Lamp | Peer Specialist | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-01-25 |
1801361266 | Caitlin Paige Eller | Community Health Worker | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2018-10-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
1609408293 | Matthew Scott Schaitel | Massage Therapist | 323 South Broad Street, Lancaster, OH 43130 | 2020-02-11 |
1881226058 | Hollie Michelle Aneshansley | Massage Therapist | 323 South Broad St, Lancaster, OH 43130 | 2020-02-06 |
1184180127 | Natural Remedies Massage | Clinic/Center | 323 S. Broad St., Lancaster, OH 43130 | 2019-02-14 |
1861958126 | Jaclyn R Lamphier | Massage Therapist | 323 S. Broad St, Lancaster, OH 43130 | 2019-02-12 |
1457849549 | Regina A Rienschield | Counselor | Fairfield County Counseling Center, 117 W Main St, Suite 107, Lancaster, OH 43130 | 2018-04-25 |
1255830212 | Rem Ohio Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1431 Pleasant Springs Blvd, Lancaster, OH 43130 | 2018-02-06 |
1275032328 | Rem Ohio Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1410 Pleasant Springs Blvd, Lancaster, OH 43130 | 2018-02-05 |
1295241966 | Mark Jason Kraft | Hearing Instrument Specialist | 618 East Main St., Lancaster, OH 43130 | 2017-12-18 |
1447611520 | Cindy Reef | Counselor | 624 E. Main Street, Lancaster, OH 43130 | 2016-03-16 |
Find all providers in zip 43130 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326655499 | Raeann Teresa Carter | Peer Specialist | 209 Whittier Dr S Apt 4, Lancaster, OH 43130-1448 | 2020-09-23 |
1710476189 | Shelby Elswick | Peer Specialist | 1450 Graf St, Lancaster, OH 43130-1618 | 2018-05-01 |
1922606722 | Kira N Sowers | Peer Specialist | 111 S Broad St, Lancaster, OH 43130-4398 | 2020-10-14 |
1285282251 | Sumer D. Watkins | Peer Specialist | 201 S Columbus St, Lancaster, OH 43130-4315 | 2019-09-03 |
1710441530 | Alison Lamp | Peer Specialist | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2019-01-25 |
1629528039 | Demeiia Reese | Peer Specialist | 506 W Jackman St, Lancaster, CA 93534-2531 | 2016-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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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.