DR. MARK BRIAN LITTLE (NPI# 1821000514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821000514 |
Entity Type | Individual |
Full Name | DR. MARK BRIAN LITTLE |
Credential | AU D |
Practice Address |
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials Fort Gordon GA 30905-5650 |
Practice Telephone | 7067872720 |
Practice Fax Number | 7067878176 |
Mailing Telephone | 7067872720 |
Mailing Fax Number | 7067878176 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2008-05-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | AUD003676 | GA | Speech, Language and Hearing Service Providers |
N | 231H00000X | Audiologist | 3420 | SC | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | SA0620 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164827135 | Mark Steven Little | Military Health Care Provider | 3d Marine Division, Unit 35801, Fpo, AP 96382-5801 | 2014-11-03 |
1093125726 | Mark Little | Podiatrist | 1528 E Canyon Way, Chandler, AZ 85249-4742 | 2014-05-02 |
1306112966 | Mark Philip Little | Military Health Care Provider | 1st Recon Bas Bldg 33308, Camp Pendleton, CA 92055 | 2012-03-28 |
1699772863 | Mark Allison Little | Optometrist | 1107 E Marshall Ave, Longview, TX 75601 | 2005-07-03 |
1306245303 | Mark Little | Nurse Anesthetist, Certified Registered | 9500 Euclid Ave, Cleveland, OH 44195-9775 | 2014-08-15 |
1831378892 | Mark Hamilton Little | Massage Therapist | 1911 Main Ave, Suite #260, Durango, CO 81301-5078 | 2007-10-26 |
1679788525 | Mark Little | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2007-05-14 |
1649388232 | Mark Stephen Little | Anesthesiology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2006-08-25 |
1689637480 | Mark Little | Family Medicine | 2605 Kinard St Ste 200, Newberry, SC 29108-2965 | 2006-04-11 |
Street Address |
300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS |
City | FORT GORDON |
State | GA |
Zip Code | 30905-5650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790733517 | Shima Shaikh Syed | Internal Medicine | 300 W Hospital Road, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-05-04 |
1831365865 | Gregory Bryant Coleman | Physical Therapy Assistant | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-30 |
1508031550 | Clarice Dewitt Marty | Physical Therapy Assistant | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2008-04-29 |
1629243118 | Catherine Denise Ferguson | Licensed Practical Nurse | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2008-04-25 |
1548302573 | Yvonne Lovenia Tucker-harris | Social Worker | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-02-13 |
1225184088 | Eisenhower Army Medical Center | Military Hospital | 300 W Hospital Road, Eisenhower Army Medical Center Credentials, Fort Gordon, GA 30905-5650 | 2007-01-26 |
1760534408 | Jennifer A Welder | Registered Nurse | 300 W Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-16 |
1659428423 | Signe Alexis Erne | Physician Assistant | 300 W Hospital Road, Od Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-04 |
1669539094 | Vivian A. Kelley | Nurse Practitioner | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2007-01-03 |
1003978529 | Eric Larson Doane | Family Medicine | 300 W Hospital Road, Eisenhower Army Medical Center, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-12-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
Find all providers in zip 30905 |
Taxonomy Code | 231H00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679191191 | Ashley Deneen Wright | Audiologist | 2500 Hospital Blvd Ste 450, Roswell, GA 30076-4919 | 2020-07-10 |
1932726833 | Brittany Mackey Coy | Audiologist | 950 15th St # 126d, Augusta, GA 30901-2608 | 2020-06-26 |
1568085777 | Lauren E Hall | Audiologist | 6084 Lakeview Rd, Warner Robins, GA 31088-9174 | 2020-05-21 |
1518591536 | Carlotta A Cuthbertson | Audiologist | 2781 Joel Pl, Atlanta, GA 30360-1415 | 2020-02-28 |
1306489851 | Alexis Brooke Goldberg | Audiologist | 960 Johnson Fy Rd Ne Ste 144, Atlanta, GA 30342-1601 | 2019-10-28 |
1316580137 | Tia Mcdonald | Audiologist | 5200 Greystone Summit Dr Apt 1013, Columbus, GA 31909-7556 | 2019-10-24 |
1558917252 | Hannah Grace Laplante | Audiologist | 2301 Newnan Crossing Blvd E Ste 160, Newnan, GA 30265-2542 | 2019-08-18 |
1700432242 | Leah Kristen Horn | Audiologist | 1670 Clairmont Rd # 126, Decatur, GA 30033-4004 | 2019-08-12 |
1194378109 | Katie Miller | Audiologist | 3225 Cumberland Blvd Se Ste 175, Atlanta, GA 30339-6407 | 2019-07-18 |
1720631047 | Greater Atlanta Hearing P C | Audiologist | 564 Peachtree Pkwy Ste 106, Cumming, GA 30041-7401 | 2019-07-17 |
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City | FORT GORDON |
Zip Code | 30905 |
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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.