LAQUISHA S MARK (NPI# 1679739163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679739163 |
Entity Type | Individual |
Full Name | LAQUISHA S MARK |
Credential | MD |
Practice Address |
2345 Philadelphia Dr Dayton OH 45406-1816 |
Mailing Address |
529 Crawley Run Apt. #208 Centerville OH 45458-6396 |
Practice Telephone | 9372764141 |
Practice Fax Number | 9372777249 |
Enumeration Date | 2008-08-04 |
Last Update Date | 2008-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 57-014699 | OH | Student, Health Care |
Street Address |
2345 PHILADELPHIA DR |
City | DAYTON |
State | OH |
Zip Code | 45406-1816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497165062 | Dina A. Dakar | Dietitian, Registered | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2014-05-05 |
1902241425 | Lara Shahar Ilyas | Family Medicine | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2013-05-10 |
1134564743 | Matthew Lyle Nyholm | Family Medicine | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2013-05-09 |
1528352143 | Heather Veeder | Student in an Organized Health Care Education/Training Program | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-31 |
1861784712 | Joan T Waterworth | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-11 |
1265724652 | Janet Elaine Kaiser | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
1811289291 | Kelly Sue Hileman | Licensed Practical Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
1902198393 | Teresa Lynn Gatzulis | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
1770875163 | Pamela Ann Amlin | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-04 |
1366734840 | Jane Ann Clifton | Registered Nurse | 2345 Philadelphia Dr, Dayton, OH 45406-1816 | 2011-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
1932729662 | Benjamin Mallicoat | Student in an Organized Health Care Education/Training Program | 128 E Apple St Ste 2800, Dayton, OH 45409-2902 | 2020-04-22 |
1306465877 | Chase Smith | Student in an Organized Health Care Education/Training Program | 4100 W 3rd St Bldg 330, Dayton, OH 45428-9000 | 2020-04-14 |
1255960233 | Landon Rosevear | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 7, Dayton, OH 45409-2902 | 2020-04-02 |
1598392391 | Brett Douglas Foster | Student in an Organized Health Care Education/Training Program | 12 Garret St, Dayton, OH 45410-1226 | 2020-03-24 |
1538706940 | Anthony Kelemen | Student in an Organized Health Care Education/Training Program | Sopp At Wright State University, 117 Health Sci Bldg, 3640 Colonel Glenn Hwy, Dayton, OH 45435 | 2019-12-04 |
1275184764 | Rachel Wininger | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Building 3640 Colonel Glenn Highway, Dayton, OH 45435-0001 | 2019-09-25 |
1801444955 | Ashley Elizabeth Murphy | Student in an Organized Health Care Education/Training Program | Wsu School of Professional Psychology, 3640 Colonel Glenn Hwy, 117 Health Sciences Bldg, Dayton, OH 45435 | 2019-09-02 |
1245888304 | Melissa Irene Schmerr | Student in an Organized Health Care Education/Training Program | School of Professional Psychology Wright State Universi, 117 Health Science Bldg. 3640 Colonel Glenn Hwy., Dayton, OH 45435-0001 | 2019-08-30 |
1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
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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.