DR. MARK L. SMUCKER (NPI# 1528062932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528062932 |
| Entity Type | Individual |
| Full Name | DR. MARK L. SMUCKER |
| Credential | M.D. |
| Practice Address |
1855 S Main St Ste A Goshen IN 46526-4845 |
| Practice Telephone | 5745337476 |
| Practice Fax Number | 5745337145 |
| Mailing Telephone | 5745337476 |
| Mailing Fax Number | 5745337145 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01036688A | IN | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01036688A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100327940 | 05 |
| Street Address |
1855 S MAIN ST STE A |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-4845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717282 | Farid Jalinous | Internal Medicine | 1855 S Main St Ste A, Goshen, IN 46526 | 2005-06-01 |
| 1346338589 | Kim W Kahler | Nurse Practitioner | 1855 S Main St Ste A, Goshen, IN 46526-4845 | 2006-10-11 |
| 1649207937 | Eckhart Diestel | Internal Medicine | 1855 S Main St Ste A, Goshen, IN 46526-4845 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255420568 | Divya Malhotra | Internal Medicine | 5 Coates Dr, Goshen, NY 10924-6746 | 2006-10-12 |
| 1427018126 | Cardiology Consultants of Westchester | Internal Medicine | 2004 Route 17n & South Street, Goshen, NY 10924 | 2006-03-25 |
| 1619953346 | Elsa D Pascual | Internal Medicine | 3302 Route 207, Goshen, NY 10924-5002 | 2005-12-15 |
| 1093717282 | Farid Jalinous | Internal Medicine | 1855 S Main St Ste A, Goshen, IN 46526 | 2005-06-01 |
| 1104829738 | Inderpal Singh | Internal Medicine | 5 Coats Drive, Goshen, NY 10924 | 2005-05-27 |
| 1891949665 | Cardiology Consultants of Westchester, PC | Internal Medicine | 5 Coates Dr, Suite 2, Goshen, NY 10924-6746 | 2008-11-06 |
| 1649445495 | Elsa D. Pascual, M.d., P.C. | Internal Medicine | 3302 Route 207, Goshen, NY 10924-5002 | 2008-04-23 |
| 1215966593 | Hratch Kazanjian | Internal Medicine | 30 Hatfield Ln, Suite 209, Goshen, NY 10924-6766 | 2006-06-30 |
| 1760440127 | Blair Macphail | Internal Medicine | 1855 S Main St, Ste A, Goshen, IN 46526-4852 | 2006-05-03 |
| 1750362307 | Viral Ras Sheth | Internal Medicine | 70 Hatfield Ln, Goshen, NY 10924-6734 | 2005-11-10 |
| Find all providers in GOSHEN | ||||
Please comment or provide details below to improve the information on DR. MARK L. SMUCKER.
| 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.