MARK T MAHONEY (NPI# 1689863615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689863615 |
| Entity Type | Individual |
| Full Name | MARK T MAHONEY |
| Credential | D.O. |
| Practice Address |
100 College Drive Martinsville VA 24112 |
| Practice Telephone | 2766660500 |
| Practice Fax Number | 2766660400 |
| Mailing Telephone | 2766660500 |
| Mailing Fax Number | 2766660400 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2015-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102201617 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010098467 | 05 | |
| VA | MEDICARE | 00W138M01 | 01 |
| VA | AETNA | 7547584 | 01 |
| VA | SOUTHERN HEALTH | 283562 | 01 |
| VA | CIGNA | 9960505 | 01 |
| VA | ANTHEM | 146677 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255853545 | Mark Mahoney | Specialist/Technologist | 13500 Riggs Way, Windermere, FL 34786-6324 | 2017-07-09 |
| 1427028554 | Mark A Mahoney | Family Medicine | 2800 4th St Sw, Suite 8, Mason City, IA 50401-1596 | 2006-01-23 |
| 1396866836 | Mark Allan Mahoney | Chiropractor | 117 S Broadway St, New Ulm, MN 56073-3114 | 2007-04-03 |
| 1174563258 | Mark Allen Mahoney | Emergency Medicine | 101 Page St, New Bedford, MA 02740-3464 | 2006-06-07 |
| Street Address |
100 COLLEGE DRIVE |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801868617 | Susan Ramsey Weeks | Nurse Practitioner | 100 College Drive, Martinsville, VA 24112 | 2006-02-06 |
| 1023567724 | Melinda Winikur | Nurse Practitioner | 100 College Drive, Martinsville, VA 24112 | 2016-09-23 |
| 1740227156 | Mark Thomas Mahoney, D.o., P.C. | Family Medicine | 100 College Drive, Martinsville, VA 24112 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780835736 | Joseph David Mcpike I | Family Medicine | 6215 Crooked Creek West Dr, Martinsville, IN 46151-8189 | 2008-10-08 |
| 1750542197 | John Patrick Favero Jr. | Family Medicine | 2696 Greensboro Rd, Martinsville, VA 24112 | 2008-06-18 |
| 1467673749 | Indiana Cardiac & Vascular Consultants | Family Medicine | 389 E Morgan St, Suite #3, Martinsville, IN 46151-4531 | 2007-05-02 |
| 1992897110 | Robert David Piat | Family Medicine | 81 Roberson Store Rd, Martinsville, VA 24112-7381 | 2006-09-28 |
| 1285648790 | Thomas F Lahr | Family Medicine | 1609 Burton Ln, Martinsville, IN 46151-3004 | 2006-07-28 |
| 1518993120 | Ayokunle Fatade | Family Medicine | 1 E Market St, Martinsville, VA 24112-3747 | 2006-06-24 |
| 1285602862 | Myron Edward Eller Jr. | Family Medicine | 445 Commonwealth Blvd E, Martinsville, VA 24112-2014 | 2006-03-09 |
| 1295707586 | Merris A Stambaugh | Family Medicine | 1107 Brookdale St, Martinsville, VA 24112-4501 | 2006-02-02 |
| 1053302240 | David P Davis | Family Medicine | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2005-11-04 |
| 1851385751 | Anthony Frisoli | Family Medicine | 1973 Washington Valley Rd, Martinsville, NJ 08836-2053 | 2005-09-07 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
Please comment or provide details below to improve the information on MARK T MAHONEY.
| 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.