MR. MARK DOUGLAS DUNCAN (NPI# 1801809223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801809223 |
| Entity Type | Individual |
| Full Name | MR. MARK DOUGLAS DUNCAN |
| Credential | MHA |
| Practice Address |
3847 Pine Grove Ave Ste A Fort Gratiot MI 48059-4265 |
| Mailing Address |
413 16th St Port Huron MI 48060-4248 |
| Practice Telephone | 8109663717 |
| Mailing Telephone | 8109663717 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1629311667 | Mark Duncan | Counselor | 1809 E College Ave, Apt B7, Guthrie, OK 73044-4504 | 2013-03-28 |
| 1598713919 | Mark Duncan | Family Medicine | 1690 Layton Rd, Freeland, WA 98249-9456 | 2006-05-05 |
| 1992195671 | Mark Duncan | Dentist | 1401 Hillshire Dr, Suite 200, Las Vegas, NV 89134-6365 | 2015-02-02 |
| 1407275233 | Mark Duncan | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045 | 2014-04-09 |
| 1467723049 | Mark Thomas Duncan | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2012-01-13 |
| 1750520284 | Mark Edwin Duncan | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2009-02-05 |
| 1871791913 | Mark Howard Duncan | Psychiatry & Neurology | 4225 Roosevelt Way Ne, Suite 306, Seattle, WA 98105-6099 | 2007-07-10 |
| 1538380910 | Mark F. Duncan | Dentist | 610 W Main St, Heber Springs, AR 72543-2920 | 2007-05-01 |
| 1225079593 | Mark Douglas Duncan | Surgery | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-06-09 |
| Street Address |
3847 PINE GROVE AVE STE A |
| City | FORT GRATIOT |
| State | MI |
| Zip Code | 48059-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710996582 | Cynthia K. Leslie | Counselor | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-07 |
| 1548362189 | Diane Louise Welsh | Adult Companion | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-09-03 |
| 1043322662 | Karen L Robinson | Chore Provider | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-31 |
| 1700992385 | Betsy Lynn Samul | Social Worker | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-23 |
| 1982717906 | Steven P Schwabauer | Occupational Therapist | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-16 |
| 1699787440 | Meredith Anne Moore | Social Worker | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-12 |
| 1164434866 | Lisa Ann London-kramp | Social Worker | 3847 Pine Grove Ave Ste A, Fort Gratiot, MI 48059-4265 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096374 | Rebecca Campau | Registered Nurse | 4985 Lakeshore Rd, Fort Gratiot, MI 48059 | 2017-07-25 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1316110968 | Apheresis and Transfusion Medicine of Port Huron Pllc | Pathology | 4970 Lakeshore Road, Fort Gratiot, MI 48059 | 2008-04-03 |
| 1275754152 | Jennifer Ann Peyerk | Physical Therapist | 3902 Arlington Ave., Fort Gratiot, MI 48059 | 2007-05-01 |
| 1013097278 | Randy John Plonka | Internal Medicine | 5979 Lakeshore, Ft Gratiot, MI 48059 | 2006-10-16 |
| 1881708428 | John Nathan Seppo | Social Worker | 3847 Pine Grove Avenue, Fort Gratiot, MI 48059 | 2006-08-19 |
| 1396756615 | Blue Water Family Dentistry PC | Dentist | 4044 24th Ave, Fort Gratiot, MI 48059 | 2006-08-11 |
| 1720018823 | Minden City Community Healthcare Outreach | Clinic/Center | 28 Deer Creek Drive, Fort Gratiot, MI 48059 | 2006-07-04 |
| 1982103966 | Luke Michael Privette | Physical Therapist | 4351 24th Ave Ste 1, Fort Gratiot, MI 48059 | 2018-02-06 |
| 1194115352 | Rachel Brooks | Chiropractor | 2844 Krafft Rd, Fort Gratiot, MI 48059 | 2015-01-27 |
| Find all providers in zip 48059 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139307 | Heart Matters | Day Training/Habilitation Specialist | 9037 Fielding St, Detroit, MI 48228-1670 | 2020-09-22 |
| 1275145344 | Brandy Wilson | Day Training/Habilitation Specialist | 37301 Radde St, Clinton Township, MI 48036-2932 | 2020-08-20 |
| 1578108643 | Lakestate Industries | Day Training/Habilitation Specialist | 1830 N 21st St, Escanaba, MI 49829-9586 | 2019-11-13 |
| 1679088074 | Tortia Tuo | Day Training/Habilitation Specialist | 5035 Marwood Ct Se, Kentwood, MI 49508-4852 | 2017-12-06 |
| 1710405048 | Shannika Gilbert | Day Training/Habilitation Specialist | 12075 Sorrento St, Detroit, MI 48227-3751 | 2017-09-07 |
| 1336570472 | Charles Garofali | Day Training/Habilitation Specialist | 6892 W Maple Rd, West Bloomfield, MI 48322-3032 | 2013-11-27 |
| 1902036288 | Maria A. Germain-bush | Day Training/Habilitation Specialist | 3474 Snowfarm Ln, Allegan, MI 49010-9188 | 2009-07-21 |
| 1952587487 | Autumn Lynn Westbrook | Day Training/Habilitation Specialist | 4166 Ravenswood Rd, Port Huron, MI 48060-7817 | 2008-01-15 |
| 1154507879 | Theresa Laura Swinson | Day Training/Habilitation Specialist | 4745 Fish Rd, Kimball, MI 48074-1506 | 2008-01-11 |
| 1083890818 | Andrea Lynn Rodriguez | Day Training/Habilitation Specialist | 375 Henry St, Smiths Creek, MI 48074-4005 | 2008-01-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT GRATIOT |
| Zip Code | 48059 |
Please comment or provide details below to improve the information on MR. MARK DOUGLAS DUNCAN.
| 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.