DR. MARK ALLEN CIMINO (NPI# 1740282490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740282490 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN CIMINO |
| Credential | M.D. |
| Practice Address |
1111 Homer Rd Minden LA 71055-3027 |
| Practice Telephone | 3183777500 |
| Practice Fax Number | 3183772324 |
| Mailing Telephone | 3183777500 |
| Mailing Fax Number | 3183772324 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | E3519 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E3519 | AR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 15018R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LA NARCOTIC LICENSE | 030637 | 01 |
| LA | 1422878 | 05 | |
| AR | 1422878 | 05 | |
| LA | STATE MEDICAL LICENSE | LA15018R | 01 |
| LA | FEDERAL DEA NUMBER | BC8097099 | 01 |
| Street Address |
1111 HOMER RD |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831641448 | Brenda Hawkins | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2016-10-30 |
| 1528443249 | Angela Fussell | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2015-07-23 |
| 1497931570 | Sandra Alexander Frith | Counselor | 1111 Homer Rd, Minden, LA 71055-3027 | 2008-01-18 |
| 1659566982 | Family Medicine Associates of Minden, LLC | Clinic/Center | 1111 Homer Rd, Minden, LA 71055-3027 | 2007-09-10 |
| 1699834473 | Minden Physician Practices, LLC | Family Medicine | 1111 Homer Rd, Minden, LA 71055-3027 | 2006-12-07 |
| 1487610879 | Robert Ray Brown | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2006-04-25 |
| 1669441671 | Shannon Dawn Spigener | Emergency Medicine | 1111 Homer Rd, Minden, LA 71055-3027 | 2006-03-14 |
| 1497741995 | Charles Edward Self | Physician Assistant | 1111 Homer Rd, Minden, LA 71055-3027 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| 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 |
|---|---|---|---|---|
| 1265777957 | Minden Physician Practices LLC | Family Medicine | 102 N Monroe St, Ste B, Minden, LA 71055-3332 | 2012-12-06 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831469535 | Glenn E Hurst, Md, P.C. | Family Medicine | 401 Broadway Street, Minden, IA 51553-0306 | 2012-01-11 |
| 1619179421 | Martha R Wafer | Family Medicine | 102 Monroe Street, Suite B, Minden, LA 71055 | 2007-06-04 |
| 1720103674 | Hillbrick Family Medicine PC | Family Medicine | 1685 Us Highway 395 N, Suite A, Minden, NV 89423-4327 | 2007-03-20 |
| 1043241961 | David S Hoskins | Family Medicine | 1664 Us Highway 395 N, Suite #201, Minden, NV 89423 | 2006-07-06 |
| 1740258102 | Carl Henry Hines | Family Medicine | 1114 Homer Rd, Minden, LA 71055-3028 | 2006-03-10 |
| 1174597058 | David Howard Johnson | Family Medicine | 925 Ironwood Drive, Suite 2103, Minden, NV 89423-5180 | 2006-02-15 |
| 1942273776 | Joseph R. Nida | Family Medicine | 208 Morris Drive, Minden, LA 71055 | 2006-02-10 |
| 1699762948 | Christopher Michael Earnhardt | Family Medicine | 3 Medical Plaza Pl, Minden, LA 71055-3330 | 2005-10-03 |
| Find all providers in MINDEN | ||||
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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.