MARK FESEN (NPI# 1639149545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639149545 |
| Entity Type | Individual |
| Full Name | MARK FESEN |
| Credential | MD |
| Practice Address |
204 Cleveland St Great Bend KS 67530-3563 |
| Mailing Address |
Po Box 256 2337 E Crawford St Salina KS 67401 |
| Practice Telephone | 6207925511 |
| Practice Fax Number | 6207925977 |
| Mailing Telephone | 7858230633 |
| Mailing Fax Number | 7858230658 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
04-24425 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100143470N | 05 | |
| OK | 200484450A | 05 | |
| KS | MEDICARE PTAN | 016701006 | 01 |
| KS | 100143470E | 05 |
| Street Address |
204 CLEVELAND ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891314456 | Central Care, Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2020-04-14 |
| 1518388420 | Heartland Oncology, LLC | Radiology | 204 Cleveland St, Great Bend, KS 67530-3563 | 2013-12-18 |
| 1922340223 | Central Care Pa | Non-Pharmacy Dispensing Site | 204 Cleveland St, Great Bend, KS 67530-3563 | 2013-03-25 |
| 1295000776 | Central Care, Pa | Specialist | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-03-15 |
| 1730452343 | Central Kansas Medical Center | Clinic/Center | 204 Cleveland St, Great Bend, KS 67530-3563 | 2012-02-13 |
| 1730246463 | Thomas John Hegarty | Radiology | 204 Cleveland St, Great Bend, KS 67530-3563 | 2007-01-02 |
| 1801869672 | Lori M. Williams | Physician Assistant | 204 Cleveland St, Great Bend, KS 67530-3563 | 2006-02-10 |
| 1336119056 | Julie K West | Physician Assistant | 204 Cleveland St, Great Bend, KS 67530 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043439102 | Anne P. O'dea | Internal Medicine | 2650 Shawnee Mission Parkway, Suite 1102, Westwood, KS 66205 | 2007-04-25 |
| 1841254521 | Elshami M Elamin | Internal Medicine | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-04-12 |
| 1134180904 | Chester W Stone | Internal Medicine | 1401 W 12th Ave, Emporia, KS 66801 | 2006-03-31 |
| 1578532081 | Central Care, Pa | Internal Medicine | 2337 E Crawford St, Salina, KS 67401 | 2006-03-16 |
| 1891335873 | Central Care, Pa | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2020-01-08 |
| 1326362989 | Elizabeth Marie Wulff-burchfield | Internal Medicine | 2330 Shawnee Mission Parkway, Mail Stop 5003, Westwood, KS 66205-2005 | 2010-03-25 |
| 1184952962 | Terence Aik-huang Tan | Internal Medicine | 730 Medical Center Dr, Newton, KS 67114-8778 | 2009-12-07 |
| 1447490974 | Anwaar Mohammed Saeed | Internal Medicine | 2650 Shawnee Mission Pkwy, Westwood, KS 66205-2003 | 2009-02-24 |
| 1689878688 | Saaib Al Shehadat | Internal Medicine | 2214 Canterbury Dr, Suite 302, Hays, KS 67601-2386 | 2007-06-13 |
| 1932248838 | Hope Cancer Institute, Inc | Internal Medicine | 4215 Shawnee Dr, Kansas City, KS 66106-3642 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
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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.