DR. MARK BIDWELL (NPI# 1801980784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801980784 |
| Entity Type | Individual |
| Full Name | DR. MARK BIDWELL |
| Credential | M.D. |
| Practice Address |
3533 Southern Blvd Suite 4100 Kettering OH 45429-1264 |
| Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
| Practice Telephone | 9373958444 |
| Practice Fax Number | 9373958450 |
| Mailing Telephone | 9377522305 |
| Mailing Fax Number | 9375227513 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
35052666 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NO.CAROLINA LICENSE NO. | 38587 | 01 |
| OH | 0599946 | 05 | |
| AMERICAN BD. OF OBGYN | 884330E | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572551 | Mark Lamont Bidwell | Dentist | 1213 Skippack Pike, Blue Bell, PA 19422-1246 | 2013-03-25 |
| Street Address |
3533 SOUTHERN BLVD SUITE 4100 |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630137 | V. Joseph Karnitis | Obstetrics & Gynecology | 3533 Southern Blvd, Suite 4100, Kettering, OH 45429-1264 | 2005-06-24 |
| 1881208346 | Alexander John Armstrong | Physician Assistant | 3533 Southern Blvd, Kettering, OH 45429-1264 | 2020-09-02 |
| 1740739051 | Angela Yost | Nurse Practitioner | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1264 | 2016-09-27 |
| 1215385968 | Angela Ponder | Dietitian, Registered | 3533 Southern Blvd, Suite 3750, Kettering, OH 45429-1264 | 2016-06-02 |
| 1992175798 | Megan Haas | Physician Assistant | 3533 Southern Blvd, Suite 5650, Kettering, OH 45429-1264 | 2015-10-06 |
| 1578931564 | Brian Wesche | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-09-08 |
| 1932577012 | Brooke Marie Obrien | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-09-08 |
| 1841682499 | Keith A Rooker | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Ste 400, Kettering, OH 45429-1264 | 2015-02-19 |
| 1770972804 | Kristen Roth | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd, Suite 3400, Kettering, OH 45429-1264 | 2015-01-13 |
| 1841600574 | Riyad J Tayim | Surgery | 3533 Southern Blvd, Ste 2250, Kettering, OH 45429-1270 | 2014-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630137 | V. Joseph Karnitis | Obstetrics & Gynecology | 3533 Southern Blvd, Suite 4100, Kettering, OH 45429-1264 | 2005-06-24 |
| 1821182882 | Thomas H Burwinkel | Obstetrics & Gynecology | 3533 Southern Blvd, Suite 4100, Kettering, OH 45429-1264 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144690546 | Ralph Edward Kah | Obstetrics & Gynecology | 3209 Milton Road, Middletown, OH 45042-3678 | 2015-09-29 |
| 1023425899 | Rafif Mousa | Obstetrics & Gynecology | 21500 Lorain Rd, Fairview Park, OH 44126 | 2014-07-14 |
| 1619249612 | Reproductive Gynecology Inc | Obstetrics & Gynecology | 2600 W. Tuscarawus St, Suite 560, Canton, OH 44708 | 2012-02-07 |
| 1538467683 | Kasey A Reynolds | Obstetrics & Gynecology | 10506 Montgomery Rd Ste 303, Cincinnati, OH 45242-4400 | 2011-03-14 |
| 1629389754 | Shweta Jatin Bhatt | Obstetrics & Gynecology | 95 Arch St Ste 250, Akron, OH 44304-1496 | 2010-06-23 |
| 1598919904 | Jennifer Thie Md, LLC | Obstetrics & Gynecology | 4430 Carver Woods Dr, Suite 125, Cincinnati, OH 45242-5545 | 2008-11-12 |
| 1164612933 | Clear Springs Medical Center Ltd | Obstetrics & Gynecology | 4774 Kidron Rd., Kidron, OH 44636 | 2007-07-27 |
| 1982749834 | Glen E. Hofmann | Obstetrics & Gynecology | 7095 Clyo Road, Centerville, OH 45459 | 2007-02-20 |
| 1215017785 | Akas Jain | Obstetrics & Gynecology | 540 N. Cleveland Ave, Suite 100, Westerville, OH 43082 | 2006-10-17 |
| 1841389400 | Toledo Fertility Center | Obstetrics & Gynecology | 6711 Monroe St, Building 3 Suite A, Sylvania, OH 43560-1993 | 2006-10-12 |
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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.