DR. MARK ANDREW MACNEALY (NPI# 1861838922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861838922 |
| Entity Type | Individual |
| Full Name | DR. MARK ANDREW MACNEALY |
| Other Name | MARK ANDREW MACNEALY |
| Credential | MD |
| Practice Address |
2611 Wayne Ave Blg 61 Dayton OH 45420-1833 |
| Practice Telephone | 9372567801 |
| Practice Fax Number | 9372567811 |
| Mailing Telephone | 9372567801 |
| Mailing Fax Number | 9372567811 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
34.002617 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34.002617 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2611 WAYNE AVE BLG 61 |
| City | DAYTON |
| State | OH |
| Zip Code | 45420-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750350658 | State of Ohio Department of Mental Health | Case Management | 2611 Wayne Ave, Bldg #66, Dayton, OH 45420-1833 | 2006-03-15 |
| 1053926246 | Nikkol Michelle Ferguson | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-09-14 |
| 1457963878 | Jessica Lynn Phillips | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-18 |
| 1417569005 | Michael Baker | Licensed Practical Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2020-08-17 |
| 1629611421 | Alexus Sanders | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-10-24 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1205498433 | Terry Shawn Wilson | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-09 |
| 1528629789 | Quinton A Osborne | Counselor | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-06-27 |
| 1457827677 | Kellie Jean Morrissey | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-10-15 |
| 1083196018 | Charles Robert Wick | Case Manager/Care Coordinator | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824547 | Erica Brooke Harris | Chore Provider | 2526 Revere Ave, Apt 10, Dayton, OH 45420 | 2020-03-03 |
| 1932626611 | Christine Catherine Kukla | Counselor | 3280 Woodman Drive, Kettering, OH 45420 | 2017-08-24 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1629433073 | Morgan Pridemore | Counselor | 2754 S Smithville Rd, Dayton, OH 45420 | 2015-12-29 |
| 1265807515 | Garry Brown | Counselor | 2611 Wayne Ave Bldg 61, Dayton, OH 45420 | 2015-12-10 |
| 1285046839 | Gina Katherine Howenstine | Registered Nurse | 3000 Glengarry Dr., Kettering, OH 45420 | 2014-05-29 |
| 1205260007 | Jo Ellen Perbix Kuzila | Speech-Language Pathologist | 1968-f Woodman Center Drive, Dayton, OH 45420 | 2013-08-28 |
| 1245511575 | Honey Nicole Strong | Licensed Practical Nurse | 1036 Mendota Ct, Kettering, OH 45420 | 2011-08-31 |
| 1043358096 | Cleanne Cass | Family Medicine | 324 Wilmington Avenue, Dayton, OH 45420 | 2007-02-02 |
| 1104981919 | Timothy Harold Farney | Dentist | 2297 Patterson Road, Kettering, OH 45420 | 2006-12-22 |
| Find all providers in zip 45420 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
| 1790032118 | Cassandra J Milling | Psychiatry & Neurology | 128 E Apple St Fl 2, Wsu Neurology Weber Bldg Suite 2834, Dayton, OH 45409-2902 | 2012-08-06 |
| 1073566147 | Robert P Hardman Md Inc | Psychiatry & Neurology | 300 Forest Ave, Dayton, OH 45405-4536 | 2006-05-18 |
| 1649266016 | Babar Hasan | Psychiatry & Neurology | 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 | 2005-09-21 |
| 1114922390 | Joel Vandersluis | Psychiatry & Neurology | 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459-4296 | 2005-06-15 |
| 1568085959 | Louis Curtis | Psychiatry & Neurology | 1 Wyoming St, Dayton, OH 45409-2711 | 2020-05-20 |
| 1972126274 | Graham Kiyoshi Reid | Psychiatry & Neurology | 30 E Apple St Ste 6257, Dayton, OH 45409-2939 | 2020-05-20 |
| 1386050821 | Drew William Dula | Psychiatry & Neurology | 1975 Miamisburg Centerville Rd, Dayton, OH 45459 | 2014-07-04 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1174961874 | Kenneth Douglas Pugar | Psychiatry & Neurology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2013-06-05 |
| Find all providers in DAYTON | ||||
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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.