MATTHEW MARK (NPI# 1881782936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881782936 |
| Entity Type | Individual |
| Full Name | MATTHEW MARK |
| Credential | MD |
| Practice Address |
50 Blaine Ave Ste 2200 Bedford OH 44146-2709 |
| Mailing Address |
Po Box 901666 Cleveland OH 44190-1666 |
| Practice Telephone | 4402325400 |
| Practice Fax Number | 4402320084 |
| Mailing Telephone | 4402325400 |
| Mailing Fax Number | 4402320084 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35075459M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2191097 | 05 |
| Street Address |
50 BLAINE AVE STE 2200 |
| City | BEDFORD |
| State | OH |
| Zip Code | 44146-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366695884 | Cheryl Ann Tatka | Nurse Practitioner | 50 Blaine Ave Ste 2200, Bedford, OH 44146-2783 | 2008-10-28 |
| 1568590016 | University Primary Care Practices Inc | Family Medicine | 50 Blaine Ave Ste 2200, Bedford, OH 44146-2709 | 2007-02-28 |
| 1891870911 | Grace Song | Family Medicine | 50 Blaine Ave Ste 2200, Bedford, OH 44146-2709 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959629 | Donna Stevens | Counselor | 855 Lincoln Blvd, Bedford, OH 44146 | 2019-02-27 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 1609357276 | Laylah Allen | Community Health Worker | 91 Forest Dr, Bedford, OH 44146 | 2018-08-22 |
| 1427577782 | Katrina Allen | Social Worker | 6118 Eaton Ct., Bedford Hts, OH 44146 | 2017-09-18 |
| 1538686878 | Stephanie Frankel | Registered Nurse | 26364 Bluebird Cove, Bedford, OH 44146 | 2017-08-28 |
| 1790206738 | Agape Home Health Agency | Home Health | 50 Woodrow Avenue, Bedford, OH 44146 | 2017-06-29 |
| 1609300060 | Carlesha Embrey | Home Health Aide | 6269 Sparrowhawk Way, Bedford, OH 44146 | 2017-04-12 |
| 1548627987 | Nicolette Walker | Licensed Practical Nurse | 91 Thames Avenue, Bedford, OH 44146 | 2016-01-15 |
| 1992189872 | B-trice Home Health Agency LLC | Home Health | 5311 Northfield Road, Suite 202, Bedford, OH 44146 | 2015-07-10 |
| 1659774438 | Chitaqua Jackson | Licensed Practical Nurse | 860 Broadway Ave, Bedford, OH 44146 | 2014-10-07 |
| Find all providers in zip 44146 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437585197 | Gordon Edward Carruthers | Family Medicine | 14 Appleby Dr, Bedford, NY 10506 | 2013-09-25 |
| 1477799435 | First You Physician House Calls Psc | Family Medicine | 18 Alexander Ave Unit 1, Bedford, KY 40006-1114 | 2008-12-22 |
| 1396909651 | Glendal Ray Dow | Family Medicine | 1320 Hardisty Rd, Bedford, TX 76021-6522 | 2008-07-16 |
| 1770784308 | Dunn Memorial Hospital | Family Medicine | 1620 25th St, Bedford, IN 47421-5000 | 2007-05-30 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| 1750420303 | Ruth D Jones | Family Medicine | 342 S Richard St, Bedford, PA 15522-1743 | 2007-02-06 |
| 1841358876 | First You Medical Center Pllc | Family Medicine | 18 Alexander Ave, Unit 1, Bedford, KY 40006-1114 | 2006-12-04 |
| 1285708511 | Trimble Family Practice, LLC | Family Medicine | 470 Highway 421, Bedford, KY 40006-0247 | 2006-11-20 |
| 1346321262 | Deborah Brindza | Family Medicine | 22750 Rockside Rd Ste 210, Bedford, OH 44146-1576 | 2006-10-18 |
| 1982794020 | Leonard Joel Cohen | Family Medicine | 582 Blue Ridge Ave., Bedford, VA 24523 | 2006-10-12 |
| Find all providers in BEDFORD | ||||
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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.