MARK RICHARD ESHAM (NPI# 1891754545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891754545 |
| Entity Type | Individual |
| Full Name | MARK RICHARD ESHAM |
| Credential | ARNP |
| Practice Address |
40100 Highway 27 Davenport FL 33837 |
| Mailing Address |
8390 Champions Gate Blvd Ste 306 Champions Gate FL 33896 |
| Practice Telephone | 8634224971 |
| Mailing Telephone | 4073901677 |
| Mailing Fax Number | 4073901765 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP3077032 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
40100 HIGHWAY 27 |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396726451 | Mark D Tran | Anesthesiology | 40100 Highway 27, Davenport, FL 33837-5906 | 2005-11-07 |
| 1801457510 | Adventhealth Polk North Inc | General Acute Care Hospital | 40100 Highway 27, Davenport, FL 33837-5906 | 2019-06-24 |
| 1720552045 | Maria Divina Lim Sia | Nurse Practitioner | 40100 Highway 27, Davenport, FL 33837-5906 | 2019-01-20 |
| 1295216034 | Ridgewood Physician Services, LLC | Physician Assistant | 40100 Highway 27, Davenport, FL 33837-5906 | 2018-08-28 |
| 1750862694 | Ridgewood Emergency Group, LLC | Physician Assistant | 40100 Highway 27, Davenport, FL 33837-5906 | 2018-08-28 |
| 1952803751 | Alex Clough | Dietitian, Registered | 40100 Highway 27, Davenport, FL 33837-5906 | 2018-03-07 |
| 1548778418 | Multispecialty Health Network of Florida, LLC | Orthopaedic Surgery | 40100 Highway 27, Davenport, FL 33837-5906 | 2018-01-13 |
| 1972039592 | Nixon Simon | Nurse Practitioner | 40100 Highway 27, Davenport, FL 33837-5906 | 2017-05-02 |
| 1487105292 | Ivonne Hazim | Registered Nurse | 40100 Highway 27, Davenport, FL 33837-5906 | 2016-10-17 |
| 1285084533 | Eyad Rawhi El Far | Family Medicine | 40100 Highway 27, Davenport, FL 33837-5906 | 2016-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1609480375 | Sun Health and Wellness, Inc | Pharmacy | 109 Park Place Blvd, Suite A, Davenport, FL 33837 | 2020-09-01 |
| 1093323156 | Tammey Davis Payne | Counselor | 1423 Merrimack Lane, Davenport, FL 33837 | 2020-07-15 |
| 1346872835 | Shelly Hanson | Dietitian, Registered | 40100 Us 27, Davenport, FL 33837 | 2020-02-12 |
| 1689221269 | Adventist Health System /sunbelt, Inc. | Clinic/Center | 40124 Us Hwy 27, Suite 205, Davenport, FL 33837 | 2019-08-20 |
| 1578029039 | Portia P White | In Home Supportive Care | 108 East James St, Davenport, FL 33837 | 2019-02-20 |
| 1366937146 | Sheetal Kirat Parikh | Dietitian, Registered | 40100 Us Highway 27, Davenport, FL 33837 | 2018-06-25 |
| 1063929883 | Marisa Christine Sweetser | Registered Nurse | 40100 Us-27, Davenport, FL 33837 | 2018-01-02 |
| 1104341460 | Haley Kampf | Behavioral Analyst | 4303 Cortland Dr, Davenport, FL 33837 | 2017-08-08 |
| 1013438373 | Tamara Michelle Ortiz | Speech-Language Pathologist | 206 Nova Drive, Davenport, FL 33837 | 2017-06-27 |
| Find all providers in zip 33837 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887399 | Chelsea White | Nurse Practitioner | 225 Lake Davenport Blvd, Davenport, FL 33897-5425 | 2020-09-28 |
| 1932723632 | Vikram Poonia | Nurse Practitioner | 220 Steamboat Blvd, Davenport, FL 33897-5671 | 2020-05-29 |
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1184267940 | Marva Clarke | Nurse Practitioner | 640 Highland Meadows St, Davenport, FL 33837-7924 | 2019-10-24 |
| 1427532803 | Juliana Manyoh Enoakpa | Nurse Practitioner | 1351 W Central Park Ave Ste 3300, Davenport, IA 52804-1889 | 2018-09-20 |
| 1629572649 | Michelle Lynn Schultz | Nurse Practitioner | 815 E Locust Street, Heartland Care Partners, Davenport, IA 52803-4345 | 2018-03-23 |
| 1558774455 | Jenafer Garcia | Nurse Practitioner | 106 Park Place Blvd Ste C, Davenport, FL 33837-6868 | 2014-06-09 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1184801920 | Advocacy Behavioral Health, Inc. | Nurse Practitioner | 12 South Blvd E, Davenport, FL 33837-0535 | 2008-01-23 |
| 1124073911 | Judith K Spahn | Nurse Practitioner | 2162 W Kimberly Rd, Davenport, IA 52806-5368 | 2006-05-23 |
| Find all providers in DAVENPORT | ||||
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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.