DR. MARK JOSEPH EDMUNDS (NPI# 1679540702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679540702 |
| Entity Type | Individual |
| Full Name | DR. MARK JOSEPH EDMUNDS |
| Credential | D.P.M. |
| Practice Address |
1610 S Main St Ste. 9 Hopkinsville KY 42240-1974 |
| Practice Telephone | 2708851203 |
| Practice Fax Number | 2708851561 |
| Mailing Telephone | 2708851203 |
| Mailing Fax Number | 2708851561 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00294 | KY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 8000490 | 05 | |
| KY | RAILROAD MEDICARE | P00713506 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073818548 | Mark Edmunds | Pathology | 8700 Beverly Blvd, South Tower, Room 1670, West Hollywood, CA 90048-1804 | 2011-01-14 |
| Street Address |
1610 S MAIN ST STE. 9 |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009459 | Dr. Mark J. Edmunds, Dpm, P.l.l.c. | Podiatrist | 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 | 2006-01-27 |
| 1720482151 | William Adkins Jr. | Dentist | 1610 S Main St, Hopkinsville, KY 42240-1974 | 2014-10-14 |
| 1295992873 | Christian County Foot and Ankle Center, Inc | Durable Medical Equipment & Medical Supplies | 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 | 2008-05-21 |
| 1043477631 | Christian County Foot and Ankle Center, Inc. | Durable Medical Equipment & Medical Supplies | 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 | 2008-05-21 |
| 1003957739 | Wiggins Drugs Limited | Durable Medical Equipment & Medical Supplies | 1610 S Main St, Hopkinsville, KY 42240-1974 | 2007-02-08 |
| 1760571707 | Dr. Mark J. Edmunds, Dpm, Pllc | Durable Medical Equipment & Medical Supplies | 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 | 2006-10-11 |
| 1952414963 | William B Adkins IIi | Dentist | 1610 S Main St, Hopkinsville, KY 42240-1974 | 2006-08-16 |
| 1730173147 | Manuel De La Rocha | Specialist | 1610 S Main St, Hopkinsville, KY 42240-1974 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009459 | Dr. Mark J. Edmunds, Dpm, P.l.l.c. | Podiatrist | 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
| 1578112983 | Peter Cunningham | Podiatrist | 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 | 2019-09-09 |
| 1447787676 | Jenna Vaught LLC | Podiatrist | 3407 Kerry Dr, Louisville, KY 40218-2131 | 2017-05-18 |
| 1528429289 | Carrie A. Tull, Dpm LLC | Podiatrist | 272 Redwing Dr, Winchester, KY 40391-2928 | 2016-03-09 |
| 1083907471 | Larry K Ketcherside | Podiatrist | 9110 Leesgate Rd, Louisville, KY 40222-5053 | 2011-05-18 |
| 1013210251 | Dr. Robert F Hailey, Dpm Psc | Podiatrist | 333 S 6th St, Mayfield, KY 42066-2309 | 2010-12-09 |
| 1558516054 | Jessica S Jackson Dpm Pllc | Podiatrist | 15014 Bircham Rd, Louisville, KY 40245-4104 | 2008-11-25 |
| 1568625903 | Janine A. Valentino | Podiatrist | 9880 Angies Way Suite 110, Louisville, KY 40241-2943 | 2008-07-07 |
| 1518134386 | Jennifer Benge Emery | Podiatrist | 427 Us 31w Byp Ste 202, Bowling Green, KY 42101-1703 | 2008-05-12 |
| 1760676092 | Advanced Foot Care of Northern Ky | Podiatrist | 1880 Ashwood Cir, Ft Wright, KY 41011-2602 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.