MARK ROARK (NPI# 1518380625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518380625 |
| Entity Type | Individual |
| Full Name | MARK ROARK |
| Credential | APRN |
| Practice Address |
160 London Mountain View Dr London KY 40741-6601 |
| Mailing Address |
Po Box 936 London KY 40743-0936 |
| Practice Telephone | 6068640770 |
| Practice Fax Number | 6068641461 |
| Mailing Fax Number | 6063307825 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3008480 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100294960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598890907 | Mark William Roark | Optometrist | 10967 Allisonville Rd, Suite 120, Fishers, IN 46038-2632 | 2007-02-23 |
| Street Address |
160 LONDON MOUNTAIN VIEW DR |
| City | LONDON |
| State | KY |
| Zip Code | 40741-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447680 | Carey W Mckain | Orthopaedic Surgery | 160 London Mountain View Dr, London, KY 40741-6601 | 2005-09-14 |
| 1063906675 | David Cody Dugger | Nurse Practitioner | 160 London Mountain View Dr, London, KY 40741 | 2018-06-18 |
| 1396235172 | Carlee Pingleton | Family Medicine | 160 London Mountain View Dr, London, KY 40741-6601 | 2018-05-16 |
| 1821534769 | Angel Patterson | Nurse Practitioner | 160 London Mountain View Dr, London, KY 40741-6601 | 2017-01-17 |
| 1801209069 | Kevin Michael Magone | Orthopaedic Surgery | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-06-05 |
| 1295155927 | Vincent Angelo Depalma | Orthopaedic Surgery | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-04-21 |
| 1891112173 | Kentuckyone Health Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 160 London Mountain View Dr, London, KY 40741-6601 | 2014-03-25 |
| 1861834236 | Meredith H Moses | Physician Assistant | 160 London Mountain View Dr, London, KY 40741-6601 | 2013-07-25 |
| 1821352865 | Laura Whitney Burchette | Physician Assistant | 160 London Mountain View Dr, London, KY 40741-6601 | 2012-06-25 |
| 1104183102 | Christopher Earl Ledington | Specialist/Technologist, Other | 160 London Mountain View Dr, London, KY 40741-6601 | 2012-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144259 | William Paul Wolfe | Nurse Practitioner | 94 Dogpatch Trading Ctr, London, KY 40741-8292 | 2018-05-16 |
| 1821482118 | Practitioner Services Pllc | Nurse Practitioner | 489 Waterworks Rd, London, KY 40741-8229 | 2015-03-24 |
| 1023379815 | Brock Medical, LLC | Nurse Practitioner | 1752 Highway 192 W, Suite 1, London, KY 40741-1675 | 2012-06-07 |
| 1083929236 | Kyra N Gambrel | Nurse Practitioner | 1210 West 5th Street, London, KY 40741-2112 | 2010-08-12 |
| 1104063346 | Lisa Abner | Nurse Practitioner | 103 Chera Lynn St, London, KY 40741-3142 | 2009-01-09 |
| 1912092537 | Ruth Anne Combs | Nurse Practitioner | 181 Old Whitley Rd, London, KY 40744-8211 | 2006-10-03 |
| 1295767556 | Internal Medicine Associates of Ky Psc | Nurse Practitioner | 2135 Highway 30, Suite 1, London, KY 40741-6139 | 2006-07-07 |
| 1669408423 | Margaret H Zoellers | Nurse Practitioner | 148 London Mountain View Dr Ste 4, London, KY 40741-6617 | 2006-06-24 |
| 1518915891 | Pyma Medical, Pllc | Nurse Practitioner | 148 London Mountain View Dr, Suite 4, London, KY 40741-6601 | 2006-05-05 |
| 1417589706 | Adam Prewitt | Nurse Practitioner | 100 London Mountain View Dr Fl 1, London, KY 40741-6668 | 2020-02-05 |
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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.