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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01037623A | IN | Allopathic & Osteopathic Physicians |
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 |
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 |
Street Address |
17501 GENERATIONS DR |
City | SOUTH BEND |
State | IN |
Zip Code | 46635-1589 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 46635 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | SOUTH BEND |
Zip Code | 46635 |
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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.