MARK FLEMING (NPI# 1508807181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508807181 |
| Entity Type | Individual |
| Full Name | MARK FLEMING |
| Practice Address |
305 W Jackson St Ste 103 Carbondale IL 62901-1474 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6183514972 |
| Practice Fax Number | 6183516522 |
| Mailing Telephone | 6184575200 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036.130895 | IL | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 35-058145 F | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 W Jackson St Ste 400, Carbondale, IL 629011474 | 6183514972 | 6183514973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235635152 | Mark Evan Fleming | Social Worker | 5828 Balcones Dr Ste 101, Austin, TX 78731-4279 | 2018-03-30 |
| 1538518253 | Mark Fleming | Community Health Worker | 17824 Jamestown Way Apt A, Lutz, FL 33558-6639 | 2016-06-03 |
| 1295032167 | Mark David Fleming | Dentist | 61 Timber Ln, Friday Harbor, WA 98250-6822 | 2011-02-11 |
| 1841255932 | Mark Donald Fleming | Surgery | 225 Smith Ave N Ste 100, Saint Paul, MN 55102-2533 | 2006-04-20 |
| 1316925100 | Mark Christopher Fleming | Psychologist | 950 W Elliot Rd, Suite 220, Tempe, AZ 85284-1144 | 2006-01-03 |
| 1497754980 | Mark Edward Fleming | Chiropractor | 438 S Main St, Zelienople, PA 16063-1529 | 2005-07-18 |
| 1063943660 | Mark Fleming II | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box 800719, Charlottesville, VA 22908-0816 | 2017-03-24 |
| 1740473503 | Mark Fleming | Counselor | 330 Mchenry Ave, Modesto, CA 95354-0561 | 2007-08-23 |
| 1679690457 | Mark J Fleming | Dentist | 8350 E Raintree Dr, Suite 115, Scottsdale, AZ 85260-2695 | 2007-03-25 |
| 1235148404 | Mark D Fleming | Pathology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-08-06 |
| Street Address |
305 W JACKSON ST STE 103 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871542811 | Michael Anthony Bryant | Physician Assistant | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2006-05-08 |
| 1427609775 | Brandi Anderson | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2019-09-26 |
| 1689180978 | Hope Elizabeth Merkley | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2017-12-21 |
| 1932578895 | Cori Starkweather | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-09-22 |
| 1326423823 | Muhammad Amjad Hameed | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2015-07-25 |
| 1972914869 | Sahil Gupta | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2014-05-13 |
| 1609171206 | Crystal Adel Honold | Clinical Nurse Specialist | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2011-01-13 |
| 1265698260 | Gerson A Criste | Anesthesiology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2008-07-30 |
| 1619186269 | Tiffany Ward | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2007-05-21 |
| 1376597815 | Ahmed H Jafri | Psychiatry & Neurology | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734414 | Eugenio Fortunato Vargas | Neurological Surgery | 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 | 2005-10-20 |
| 1700420536 | Valley View Hospital Association | Neurological Surgery | 978 Euclid Ave, Carbondale, CO 81623-1839 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1891281499 | Kamran Khan, Sc | Neurological Surgery | 1890 Silver Cross Blvd Ste 450, New Lenox, IL 60451-9518 | 2018-07-06 |
| 1881124030 | Denise Brunozzi | Neurological Surgery | 912 South Wood Street, 451 N - Hc 739, Chicago, IL 60612 | 2017-06-19 |
| 1407218365 | St Anthonys Physician Organization of Illinois | Neurological Surgery | 211 S Burns Ave, Sparta, IL 62286-1895 | 2016-03-22 |
| 1225455181 | Jehad Algharabli | Neurological Surgery | 2218 S Leavitt St, Chicago, IL 60608-4008 | 2014-03-27 |
| 1992041461 | Gursant Atwal | Neurological Surgery | University of Il Hospital & Health Science System, 1740 W Taylor St, Chicago, IL 60612 | 2013-01-02 |
| 1629321112 | James Bruce Mansfield | Neurological Surgery | 5 Loch Ln, South Barrington, IL 60010-9532 | 2012-10-21 |
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1356637722 | Melissa M Stamates | Neurological Surgery | 2650 Ridge Ave Fl 3, Evanston, IL 60201 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.