DR. DAVID G MARK


Address: 17501 Generations Dr, South Bend, IN 46635-1589
Phone: 5740000000

DR. DAVID G MARK (NPI# 1770587339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770587339
Entity Type Individual
Full Name DR. DAVID G MARK
Credential MD
Practice Address 17501 Generations Dr
South Bend
IN 46635-1589
Mailing Address 10466 Woodchuck Ct
Granger
IN 46530-6029
Practice Telephone 5740000000
Practice Fax Number 5740000000
Enumeration Date 2005-06-10
Last Update Date 2016-05-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
01037623A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN BLUECROSS BLUESHIELD 000000084424 01
IN RAIL ROAD MEDICARE 110082367 01
IN AETNA 4229217 01
IN 100323890A 05
IN CIGNA 2004184004 01

Other Providers DAVID MARK

NPI Name Taxonomy Address Enumeration
1326436999 David Mark Social Worker 579 Trysting Pl, Cedarhurst, NY 11516-1348 2015-01-05
1679716070 David Mark Psychologist 408 Anthwyn Rd, Narberth, PA 19072-2302 2009-04-14
1023166840 David Andrew Mark Internal Medicine 10 West 4th Street, Hardin, MT 59034-1804 2007-01-08
1912900218 David Bruce Mark Ophthalmology 1010 W Fremont Ave, Ste 200, Sunnyvale, CA 94087-3019 2005-05-31

Office Location

Street Address 17501 GENERATIONS DR
City SOUTH BEND
State IN
Zip Code 46635-1589

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051341 John Glenn Mathis Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-05-24
1548502495 Desiree Dian Williams Registered Nurse 17501 Generations Dr, South Bend, IN 46635-1589 2013-03-19
1750607354 Ravi J Patel Internal Medicine 17501 Generations Dr, South Bend, IN 46635 2010-04-08
1528222387 Thomas R Vanderheyden Jr. Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2008-07-10
1144433467 Seth F Tatel Internal Medicine 17501 Generations Dr, South Bend, IN 46635 2007-05-07
1851304208 Janet Vardaman Nurse Anesthetist, Certified Registered 17501 Generations Dr, South Bend, IN 46635-1589 2006-08-15
1972500874 Mary Jo Morey Nurse Practitioner 17501 Generations Dr, South Bend, IN 46635-1589 2005-07-07
1821094525 Michiana Gastroenterology, Inc Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-27
1124022082 Pankaj A Patel Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-09
1649272725 Michael Alan Manbeck Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295078228 Michael Pfeiffer Otolaryngology 6301 University Commons Ste 360, South Bend, IN 46635 2013-03-27
1679833438 Whitney Moore Physical Therapy Assistant 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 2012-05-25
1992917637 Elly May Wynia Social Worker 53700 Generations Drive, Suite 200, South Bend, IN 46635 2007-05-04
1891917282 Lifetime Dental Careof Indiana, PC Dentist 1605 North Ironwood, South Bend, IN 46635 2007-05-03
1750502878 Tyrone Arteese Armstead Pharmacist 3355 Douglas Rd, South Bend, IN 46635 2007-05-02
1013033794 Bradley Richard Swanson Dentist 54505 26th Street, Unit E, South Bend, IN 46635 2007-03-22
1225185739 Michael J. O'connell D.o. Inc Family Medicine 17960 Cleveland Road, South Bend, IN 46635 2007-01-05
1346300365 Chad Fulton Harrington Dentist 3340 Douglas Rd., South Bend, IN 46635 2006-12-11
1346313236 Dr Shawn R Long Dds PC Dentist 16329 State Rd 23, South Bend, IN 46635 2006-11-16
1134206576 Kearn David Hinchman Psychiatry & Neurology 53779 Generations Drive, Suite 1, South Bend, IN 46635 2006-11-01
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427051341 John Glenn Mathis Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-05-24
1235341587 Jennifer A Spanier-stiasny Internal Medicine 211 N Eddy St, South Bend, IN 46617-2808 2007-05-07
1144433467 Seth F Tatel Internal Medicine 17501 Generations Dr, South Bend, IN 46635 2007-05-07
1093705675 Zuhair H Yaseen Internal Medicine 211 N Eddy St, South Bend, IN 46617-2808 2005-10-25
1154311751 Luis A Nidea Internal Medicine 211 N Eddy St, South Bend, IN 46617-2808 2005-10-25
1821094525 Michiana Gastroenterology, Inc Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-27
1124022082 Pankaj A Patel Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-09
1649272725 Michael Alan Manbeck Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-02
1497759765 Oliver D Gilliam Internal Medicine 17501 Generations Dr, South Bend, IN 46635-1589 2005-06-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710486295 Gastro Md, LLC Internal Medicine 625 Richland Way, Westfield, IN 46074-9054 2018-02-09
1790137115 Abdinoor Medical LLC Internal Medicine 1819 Braemar Dr, Fort Wayne, IN 46814-9364 2016-07-09
1538578018 Shail Sheth Internal Medicine 3903 S 7th St Ste 2f, Terre Haute, IN 47802-5710 2014-08-08
1992113245 Unity Healthcare, LLC Internal Medicine 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 2014-07-31
1265773113 Michael Sai Lai Sey Internal Medicine 550 N. University Blvd, Suite 4100, Indiana University Hospital, Indianapolis, IN 46202 2013-03-01
1649531062 Kavish Rohit Patidar Internal Medicine 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 2012-06-01
1265726673 Digestive Healthcare Specialists LLC Internal Medicine 8865 W 400 N Ste 155, Michigan City, IN 46360-9010 2011-06-02
1033442991 Dana Charles Moffatt Internal Medicine 359 N West St, Apt 284, Indianapolis, IN 46202-4207 2009-09-10
1134356173 Robert G. Overstreet Internal Medicine 348 Bohart Ln, Charlestown, IN 47111-1606 2009-06-17
1003057993 John Charles Lowe Sr. Internal Medicine 10912 300 Yard Dr, Fishers, IN 46037-9306 2009-03-23
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Competitor

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City SOUTH BEND
Zip Code 46635

Improve Information

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Dataset Information

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.

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