MARK S KLUG (NPI# 1801850334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801850334 |
| Entity Type | Individual |
| Full Name | MARK S KLUG |
| Credential | M.D. |
| Practice Address |
7677 Yankee St Suite 110 Centerville OH 45459-3475 |
| Mailing Address |
Po Box 713130 Cincinnati OH 45271-0001 |
| Practice Telephone | 9374280400 |
| Practice Fax Number | 9374388630 |
| Mailing Telephone | 9374159100 |
| Mailing Fax Number | 9374159191 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
35-04-2186-K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0482400 | 05 |
| Street Address |
7677 YANKEE ST SUITE 110 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111352 | Tarah Barrios | Physical Therapist | 7677 Yankee St, Centerville, OH 45459-3475 | 2005-11-15 |
| 1023521085 | Kayla Michelle Fryman | Physician Assistant | 7677 Yankee St, Centerville, OH 45459-3475 | 2017-11-13 |
| 1083073472 | Kyle Lipscomb | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2016-02-15 |
| 1609272137 | Austin List | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2014-11-11 |
| 1902213630 | Alex Brummett | Specialist/Technologist | 7677 Yankee St, Centerville, OH 45459-3475 | 2014-07-15 |
| 1699107656 | Symone Mcelroy | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2013-08-01 |
| 1407114275 | Nikki Bennett | Specialist/Technologist | 7677 Yankee St, Centerville, OH 45459-3475 | 2012-04-30 |
| 1386965044 | Orthopedic Associates of S W Ohio, Inc | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2010-06-17 |
| 1164634689 | Matthew W Heckler | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2007-05-04 |
| 1851365472 | Fidelity Orthopedic Inc | Durable Medical Equipment & Medical Supplies | 7677 Yankee St, Suite 210, Centerville, OH 45459-3475 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740608256 | Sarah Lamont | Orthopaedic Surgery | 53 Old Pond Rd, Springboro, OH 45066-7546 | 2014-04-01 |
| 1275963795 | Trihealth Os, LLC | Orthopaedic Surgery | 7777 Beechmont Ave, Suite 100, Cincinnati, OH 45255-4209 | 2013-11-19 |
| 1366767162 | Amy Lynne Speeckaert | Orthopaedic Surgery | 915 Olentangy River Rd Fl 3, Columbus, OH 43212 | 2010-04-05 |
| 1811102940 | Michael Christopher Weisburger | Orthopaedic Surgery | 9500 Mentor Ave Ste 210, Mentor, OH 44060-8714 | 2007-05-11 |
| 1093892325 | Gary A. Pennington | Orthopaedic Surgery | 3925 Embassy Pkwy Ste 300, Akron, OH 44333-1763 | 2006-11-01 |
| 1255446845 | Robert H Hartwig | Orthopaedic Surgery | 6444 Monroe St, Ste 1, Sylvania, OH 43560-1455 | 2006-08-21 |
| 1982668463 | Hand Surgery Associates | Orthopaedic Surgery | 5300 Far Hills Ave, Suite 100, Dayton, OH 45429-2381 | 2006-04-13 |
| 1104891605 | James C Cassandra | Orthopaedic Surgery | 1325 Stringtown Rd Ste 280, Grove City, OH 43123 | 2006-02-20 |
| 1558357509 | Paul Douglas Gleason II | Orthopaedic Surgery | 4160 Little York Rd Ste 10, Dayton, OH 45414-5803 | 2005-09-26 |
| 1063410090 | Michael E Ruff | Orthopaedic Surgery | 2050 Kenny Rd, Ste. 3300, Columbus, OH 43221-3502 | 2005-07-13 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.