DR. MARK AYOUB (NPI# 1689961310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689961310 |
| Entity Type | Individual |
| Full Name | DR. MARK AYOUB |
| Credential | MD |
| Practice Address |
604 N Magnolia Ave Ste 100 Clovis CA 93611-9205 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5593200531 |
| Practice Fax Number | 5593200539 |
| Mailing Telephone | 5594432682 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A150352 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
A150352 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 N Herwaldt Dr, Fresno, CA 937012186 | 5594597300 | |
| 729 N Medical Center Dr W Ste 111, Clovis, CA 936116880 | 5593200531 | 5593200539 |
| Street Address |
604 N MAGNOLIA AVE STE 100 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-9205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025325 | Eric Michael Lindvall | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2005-07-01 |
| 1477178184 | Morgan Brooke Kelly | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-06-09 |
| 1679196133 | Micah Pinasco | Nurse Practitioner | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-05-19 |
| 1548899313 | Travis Dillon Brown | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-04-03 |
| 1134766868 | Caroline Theresa Urbanek | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-12-02 |
| 1588223762 | Christina M Furrer | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-06-11 |
| 1346732658 | Daniel Patrick Cassell | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2018-06-01 |
| 1033655238 | Joshua May | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2017-01-11 |
| 1811390370 | Andrew Gutowski | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-09-29 |
| 1962813741 | Lucas Seiler | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881762896 | Eric L Pagenkopf | Orthopaedic Surgery | 729 N Medical Center Dr W, Suite 111, Clovis, CA 93611-6879 | 2006-11-30 |
| 1649220435 | Jacob George | Orthopaedic Surgery | 2421 W. 21st Street, Clovis, NM 88101 | 2006-05-11 |
| 1942262555 | Simonian Sports Medicine Clinic A Medical Corporation | Orthopaedic Surgery | 729 North Medical Center Drive West, Suite 101, Clovis, CA 93611-6880 | 2006-04-06 |
| 1124025325 | Eric Michael Lindvall | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2005-07-01 |
| 1962813741 | Lucas Seiler | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-05-14 |
| 1689096786 | Michael Charles | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-01-09 |
| 1528402179 | Arbi Nazarian | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2013-04-25 |
| 1780976902 | Motasem Refaat | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2011-05-05 |
| 1053600940 | Jason Aaron Davis | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2011-03-31 |
| 1760621759 | Robert Charles Kollmorgen | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2009-02-13 |
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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.