DR. MARK S. DAVENPORT (NPI# 1841217387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841217387 |
| Entity Type | Individual |
| Full Name | DR. MARK S. DAVENPORT |
| Credential | M.D. |
| Practice Address |
10 Hagen Dr Suite 310 Rochester NY 14625-2660 |
| Practice Telephone | 5859225840 |
| Practice Fax Number | 5855867558 |
| Mailing Telephone | 5859225840 |
| Mailing Fax Number | 5855867558 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 173462 | NY | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
173462 | NY | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
173462 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235527433 | Mark Davenport | Counselor | 1592 Francois Court, Oviedo, FL 32765-7594 | 2014-12-23 |
| 1831129493 | Mark Wilbur Davenport | Internal Medicine | 920 Delbon Ave, Turlock, CA 95382-2019 | 2006-07-03 |
| 1952303315 | Mark Rogers Davenport | Anesthesiology | 1027 E Main St, Morristown, TN 37814-6632 | 2005-08-15 |
| 1548396716 | Mark Davenport | Counselor | 887 Potrero Ave, Unitl L, San Francisco, CA 94110-2869 | 2007-02-24 |
| 1477525632 | Mark P Davenport | Family Medicine | 3601 W Front St, Traverse City, MI 49684-8151 | 2006-02-02 |
| 1679569636 | Mark B Davenport | Family Medicine | 1835 Sunny Crest Dr, Fullerton, CA 92835-3616 | 2005-09-26 |
| Street Address |
10 HAGEN DR SUITE 310 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14625-2660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880065 | Gretchen Anne Welch | Occupational Therapist | 10 Hagen Dr, Suite 210, Rochester, NY 14625-2660 | 2005-12-02 |
| 1003171083 | On Nutrition, Pllc | Dietitian, Registered | 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 | 2012-07-06 |
| 1194091801 | Unity Linden Oaks Surgery Center, LLC | Clinic/Center | 10 Hagen Dr, Suite 110, Rochester, NY 14625-2697 | 2012-03-27 |
| 1245554013 | Carol Szymczak Plotkin | Dietitian, Registered | 10 Hagen Dr, 200, Rochester, NY 14625-2660 | 2010-03-22 |
| 1013243997 | Sleep Insights Management Services,llc | Psychiatry & Neurology | 10 Hagen Dr, Suite 120, Rochester, NY 14625-2660 | 2009-10-27 |
| 1477794337 | Carol T Vanbork | Occupational Therapist | 10 Hagen Dr, Suite 210, Rochester, NY 14625-2660 | 2009-03-23 |
| 1780838086 | Kim Ann Cruttenden | Nurse Practitioner | 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 | 2008-11-13 |
| 1407018963 | Andrew W Smith | Plastic Surgery | 10 Hagen Dr, Suite 310, Rochester, NY 14625-2660 | 2008-06-26 |
| 1326217589 | Linden Oaks Internal Medicine, LLP | Internal Medicine | 10 Hagen Dr, Suite 350, Rochester, NY 14625-2660 | 2008-02-21 |
| 1538345814 | Sleep Insights Medical Services, LLC | Internal Medicine | 10 Hagen Dr, Suite 200, Rochester, NY 14625-2660 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1003260837 | Natalia Golub | Internal Medicine | 30 Hagen Dr Ste 320, Rochester, NY 14625 | 2016-04-18 |
| 1386051688 | Amelia K Caraway | Physician Assistant | 20 Hagon Dr., Suite 300, Rochester, NY 14625 | 2014-07-18 |
| 1750793980 | Eileen M Wayne | Registered Nurse | 36a Brook Hill Lane, Rochester, NY 14625 | 2014-05-22 |
| 1003241068 | Timothy Sterling Cooper | Chiropractor | 2480 Browncroft Blvd Ste 118, Rochester, NY 14625 | 2013-09-10 |
| 1740556265 | Kelly M Limbeck | Speech-Language Pathologist | 2590 Atlantic Avenue, Denfield, NY 14625 | 2012-03-29 |
| 1952691743 | Sandra Anne Swanson | Massage Therapist | 1694 Penfield Rd., Catalyst Health Group, Rochester, NY 14625 | 2011-04-13 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1568643849 | Richard F. Eagleton | Pharmacist | 1601 Penfield Road, Rochester, NY 14625 | 2007-11-15 |
| Find all providers in zip 14625 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| 1972731156 | Ashley Amalfi | Plastic Surgery | 973 East Ave Ste 100, Rochester, NY 14607-2216 | 2009-06-26 |
| 1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
| 1295909141 | Donald J Capuano | Plastic Surgery | 2640 Ridgeway Ave, Rochester, NY 14626-4209 | 2008-04-22 |
| 1215947908 | Marie A Frankel | Plastic Surgery | 285 Idlewood Rd, Rochester, NY 14618-3955 | 2006-08-08 |
| 1043259443 | William James Koenig | Plastic Surgery | 973 East Ave, Rochester, NY 14607-2216 | 2006-06-04 |
| 1326092107 | Stephen Evangelisti | Plastic Surgery | 1901 Lac De Ville Blvd, Rochester, NY 14618-5627 | 2006-05-19 |
| 1063464717 | Plastic Cosmetic and Restorative Surgery Pllc | Plastic Surgery | 2640 Ridgeway Avenue, Rochester, NY 14626 | 2006-05-17 |
| 1104899830 | Steven R Jacobson | Plastic Surgery | 2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 | 2006-02-13 |
| 1194721282 | David H Refermat | Plastic Surgery | 360 Linden Oaks Dr., Ste 310, Rochester, NY 14625-2814 | 2005-06-22 |
| Find all providers in ROCHESTER | ||||
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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.