DR. MARK A JENKINS (NPI# 1629092184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629092184 |
| Entity Type | Individual |
| Full Name | DR. MARK A JENKINS |
| Credential | M.D. |
| Practice Address |
1818 Richardson Dr Suite E Reidsville NC 27320-5451 |
| Practice Telephone | 3366340095 |
| Practice Fax Number | 3366160320 |
| Mailing Telephone | 3366340095 |
| Mailing Fax Number | 3366160320 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9400533 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | 2001733 | 01 |
| NC | 8945870 | 05 | |
| NC | BCBS | 45870 | 01 |
| NC | PARTNERS MEDICARE CHOICE | 8284 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376592469 | Mark Schering Jenkins | Ophthalmology | 333 N. Rivershire Dr., Suite 160, Conroe, TX 77304-2711 | 2006-05-08 |
| 1558364810 | Mark Jenkins | Family Medicine | 701 W Main Blvd, Church Hill, TN 37642-3915 | 2005-05-31 |
| 1184270779 | Mark E Jenkins Jr. | Counselor | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2019-08-11 |
| 1174731459 | Mark Andrew Jenkins | Internal Medicine | 6100 Main St, Ms 760, Houston, TX 77005 | 2007-05-18 |
| 1316065758 | Mark R. Jenkins II | Radiology | 1415 Tulane Ave, Hc 71, New Orleans, LA 70112-2600 | 2007-03-26 |
| 1003987520 | Mark Philip Jenkins | Dentist | 6505 York Rd, Baltimore, MD 21212-2116 | 2006-11-13 |
| 1861593089 | Mark Guerry Jenkins | Internal Medicine | 4700 Waters Ave, Suite 400, Savannah, GA 31404 | 2006-09-26 |
| 1831132430 | Mark D Jenkins | Orthopaedic Surgery | 3601 4th St, Lubbock, TX 79430-0002 | 2006-06-13 |
| 1861443665 | Mark A Jenkins | Orthopaedic Surgery | 4425 Paulsen St, Savannah, GA 31405-3637 | 2006-05-15 |
| Street Address |
1818 RICHARDSON DR SUITE E |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334181 | Belmont Medical Associates Pllc | Internal Medicine | 1818 Richardson Dr, Ste A, Reidsville, NC 27320-5450 | 2005-05-24 |
| 1275997546 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1818 Richardson Dr, Suite C, Reidsville, NC 27320-5451 | 2016-04-12 |
| 1649600024 | Moses Cone Physician Services, Inc | Urology | 1818 Richardson Dr, Ste F, Reidsville, NC 27320-5451 | 2013-11-20 |
| 1801191754 | Samantha Jackson | Physician Assistant | 1818 Richardson Dr, Reidsville, NC 27320-5451 | 2011-01-24 |
| 1639312879 | Northern Triad Surgical Associates, Pllc | Surgery | 1818 Richardson Dr, Ste. E, Reidsville, NC 27320-5451 | 2009-04-17 |
| 1417113424 | Mark A. Jenkins, Md | Specialist | 1818 Richardson Dr, Suite E, Reidsville, NC 27320-5451 | 2008-07-30 |
| 1982868865 | Junell Carol Koberlein | Family Medicine | 1818 Richardson Dr, Ste. A, Reidsville, NC 27320-5451 | 2008-07-10 |
| 1952595373 | Benjamin L Mann | Physician Assistant | 1818 Richardson Dr, Suite A, Reidsville, NC 27320-5451 | 2007-08-29 |
| 1750317665 | William Stanford Kallam | Dentist | 1818 Richardson Dr, Suite D, Reidsville, NC 27320-5451 | 2006-06-23 |
| 1700825486 | Brent Christian Ziegler | Surgery | 1818 Richardson Dr, Suite E, Reidsville, NC 27320-5450 | 2006-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700317096 | Moses Cone Physician Services, Inc. | Surgery | 1818 Richardson Drive, Suite E, Reidsville, NC 27320-5450 | 2017-03-27 |
| 1033445523 | Tattnall Hospital Company, LLC | Surgery | 131 Memorial Drive, Reidsville, GA 30453-4605 | 2009-10-19 |
| 1639312879 | Northern Triad Surgical Associates, Pllc | Surgery | 1818 Richardson Dr, Ste. E, Reidsville, NC 27320-5451 | 2009-04-17 |
| 1801067756 | William S Bradford Md Pa | Surgery | 617 S Main St, Reidsville, NC 27320-5019 | 2008-03-19 |
| 1033152343 | William S Bradford | Surgery | 617 S Main St, Reidsville, NC 27320-5019 | 2006-06-14 |
| 1700825486 | Brent Christian Ziegler | Surgery | 1818 Richardson Dr, Suite E, Reidsville, NC 27320-5450 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1639701980 | Orthopaedic Surgery Center of Panther Creek LLC | Surgery | 6715 Mccrimmon Pkwy Ste 100, Cary, NC 27519-1916 | 2020-02-05 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1790335180 | Shihao Lao | Surgery | 2301 Erwin Rd # Dumc2837, Durham, NC 27705-4699 | 2019-09-17 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1164980546 | Moses Cone Physician Services, Inc. | Surgery | 1041 Kirkpatrick Rd Ste 150, Burlington, NC 27215-8068 | 2019-03-05 |
| 1154806271 | The Cosmetic Concierge, Pllc | Surgery | 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 | 2018-09-25 |
| 1386128601 | Venkateswara Rao Gurram | Surgery | 5075 Winster Dr Apt 202, Winston Salem, NC 27106-2988 | 2018-09-21 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
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| City | REIDSVILLE |
| Zip Code | 27320 |
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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.