ABDULLAHI ISA MUBARAK (NPI# 1861521940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861521940 |
| Entity Type | Individual |
| Full Name | ABDULLAHI ISA MUBARAK |
| Other Name | DR. MARK HUNTER THOMAS |
| Credential | M.D. |
| Practice Address |
1550 Yankee Park Pl Centerville OH 45458-1868 |
| Practice Telephone | 9374394949 |
| Practice Fax Number | 9374394948 |
| Mailing Telephone | 9374394949 |
| Mailing Fax Number | 9374394948 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
35051593 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0685585 | 05 |
| Street Address |
1550 YANKEE PARK PL |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710963657 | Yvonne Y. Clark | Nurse Practitioner | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2005-12-22 |
| 1730468679 | Dayton Pain Specialists, LLC | Pain Medicine | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-08-10 |
| 1619260049 | Pemco Pharmacy | Pharmacy | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-05-18 |
| 1811940182 | Pain Evaluation & Management Center of Ohio, Inc. | Family Medicine | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2006-05-18 |
| 1538126479 | Karen Sue Brazie | Physical Medicine & Rehabilitation | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2006-04-26 |
| 1316912413 | Richard M. Donnini | Pain Medicine | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907051 | Douglas Moinuddin | Family Medicine | 28360 Center Ridge Rd Apt 229, Westlake, OH 44145-6797 | 2020-06-23 |
| 1730726480 | Serenity Now Counseling and Treatment LLC | Family Medicine | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2019-12-02 |
| 1689220352 | Hill Clinic, LLC | Family Medicine | 4425 Hill Ave, Toledo, OH 43615-5410 | 2019-08-17 |
| 1821654674 | Roman Family Healthcare | Family Medicine | 1440 State Route 28 W, Greenfield, OH 45123-8424 | 2019-05-17 |
| 1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1326567512 | Far Reach Foundation | Family Medicine | 620 Bear Run Ln Ste B, Lewis Center, OH 43035-8299 | 2017-09-19 |
| 1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
| 1548782816 | Monarch Health and Recovery LLC | Family Medicine | 22664 State Route 73, West Portsmouth, OH 45663-6365 | 2017-07-08 |
| 1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
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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.