MARK H POWELL (NPI# 1689991887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689991887 |
| Entity Type | Individual |
| Full Name | MARK H POWELL |
| Credential | MSN, RN |
| Practice Address |
2250 Mcculloch Blvd N Ste K Lake Havasu City AZ 86403 |
| Mailing Address |
2250 Mcculloch Blvd N Ste K Lake Havasu City AZ 86403-6121 |
| Practice Telephone | 9284934410 |
| Practice Fax Number | 9284154291 |
| Mailing Telephone | 9284934410 |
| Mailing Fax Number | 9284154291 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN077937 | AZ | Nursing Service Providers |
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN077937 | AZ | Nursing Service Providers |
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
RN077937 | AZ | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN077937 | AZ | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1990 Mcculloch Blvd N, Suite D-121, Lake Havasu City, AZ 864035749 | 9284862910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922512599 | Mark Coefield Powell | Social Worker | 3011 Eubanks Rd, Durham, NC 27707-3672 | 2017-11-19 |
| 1538484001 | Mark Taylor Powell | Counselor | 1250 Western Blvd, Ste L-2, Pmb 177, Jacksonville, NC 28546-6748 | 2010-03-29 |
| 1770678229 | Mark Wright Powell | Family Medicine | 487 E. Moorestown Rd, #101, Wind Gap, PA 18091-0386 | 2006-10-03 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| 1316402233 | Mark Bradley Powell | Physical Therapist | 1712 Owen Dr, Fayetteville, NC 28304-3419 | 2019-02-05 |
| 1003337585 | Mark Powell | Occupational Therapist | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2017-07-05 |
| 1780134163 | Mark Powell | Specialist/Technologist | 6400 Fremont Rd, East Syracuse Minoa Hs, East Syracuse, NY 13057-9436 | 2016-10-10 |
| 1437470861 | Mark S. Powell | Occupational Therapist | 872 W Dayton St, Galesburg, IL 61401-1503 | 2010-06-21 |
| 1619208535 | Mark Powell | Pharmacist | 4302 W Buckeye Rd, Phoenix, AZ 85043 | 2010-01-15 |
| 1568615961 | Mark Powell | Anesthesiology | 619 19th St S, Birmingham, AL 35249-1900 | 2008-10-29 |
| Street Address |
2250 MCCULLOCH BLVD N STE K |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811402332 | Foundation Home Health LLC | Home Health | 2250 Mcculloch Blvd N Ste K, Lake Havasu City, AZ 86403-6121 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672086 | Donka Dyer-abougou | Registered Nurse | 10950 E Fourwing Pl, Tucson, AZ 85748-3552 | 2019-01-10 |
| 1043796360 | Mckenzie Buck-friis | Registered Nurse | 1750 E Riggs Rd, Gilbert, AZ 85298-0144 | 2018-07-19 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1700253994 | Stephanie Brigham | Registered Nurse | 3011 W Cheyenne Dr, Laveen, AZ 85339-1747 | 2015-08-24 |
| 1972979508 | Julia Monroe | Registered Nurse | Hwy 163, Bldg Ka-2010, Kayenta, AZ 86033-0368 | 2015-08-18 |
| 1003237694 | Stephanie Jenkins | Registered Nurse | 14202 W Mauna Loa Ln, Surprise, AZ 85379-8669 | 2013-12-26 |
| 1396951901 | Lisa Ann Feddersen | Registered Nurse | 1450 S Dobson Rd Ste B324, Mesa, AZ 85202-4712 | 2007-05-14 |
| 1598785081 | Canyon Health Care Services,inc. | Registered Nurse | 932 N Camino Seco, Tucson, AZ 85710-1708 | 2006-07-20 |
| 1205470598 | Danyashae Martinez | Registered Nurse | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
| 1255858072 | Orchid M Lopez | Registered Nurse | 4502 N Central Ave, Phoenix, AZ 85012-1817 | 2017-08-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on MARK H POWELL.
| 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.