MARK WENDEL (NPI# 1659494334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659494334 |
| Entity Type | Individual |
| Full Name | MARK WENDEL |
| Other Name | MARK WENDEL |
| Practice Address |
3800 E Johnson Ave Ste E Jonesboro AR 72401-1931 |
| Practice Telephone | 8709320399 |
| Practice Fax Number | 8709320499 |
| Mailing Telephone | 8709320399 |
| Mailing Fax Number | 8709320499 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | E-5359 | AR | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
E-5359 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AR | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 176716001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336325588 | Mark G Wendel | Counselor | 500 E Chestnut Ave, Altoona, PA 16601-5215 | 2008-01-18 |
| Street Address |
3800 E JOHNSON AVE STE E |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922121698 | Wolf E Heberlein | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2007-04-09 |
| 1144674409 | Pain & Interventional Radiology Specialists, P.a. | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883168 | Sendhil K Subramanian | Radiology | 7130 Mount Zion Blvd, Suite 10, Jonesboro, GA 30236-2566 | 2005-12-29 |
| 1649257825 | Kevin L Carson | Radiology | 7130 Mt Zion Blvd, Suite 10, Jonesboro, GA 30236 | 2005-12-28 |
| 1144674409 | Pain & Interventional Radiology Specialists, P.a. | Radiology | 3800 E Johnson Ave, Ste E, Jonesboro, AR 72401-1931 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547141 | Wilson Interventional Clinic Pa | Radiology | 628 Hospital Dr Ste 3d, Mountain Home, AR 72653-2952 | 2006-10-04 |
| 1215028188 | William Combs Culp | Radiology | 4301 W Markham # 783, Little Rock, AR 72205-7101 | 2006-09-27 |
| 1699719799 | Interventional Radiology and Imaging Specialists, Pllc | Radiology | 4301 Greathouse Springs Rd., Suite # Rad Room 1064, Johnson, AR 72741 | 2006-06-16 |
| 1679527642 | Edward E Angtuaco | Radiology | 500 S University Ave Ste 101, Little Rock, AR 72205 | 2006-05-22 |
| 1194779991 | Charles T Burke | Radiology | 9601 Lile Drive, Suite 1100, Little Rock, AR 72205-6333 | 2006-05-19 |
| 1629617857 | Sarah Michelle Lindsey | Radiology | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-01-06 |
| 1225370810 | Erin E Priddy | Radiology | 4301 W Markham St # 556, Little Rock, AR 72205-7101 | 2013-03-21 |
| 1891051611 | Edgar St. Amour | Radiology | 8901 Carti Way, Little Rock, AR 72205-6523 | 2012-04-05 |
| 1174816235 | Joseph Steven Konrad | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2011-05-24 |
| 1548552037 | William Joseph Meek | Radiology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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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.