MR. MARK WILLIAM MANCEBO (NPI# 1891936449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891936449 |
| Entity Type | Individual |
| Full Name | MR. MARK WILLIAM MANCEBO |
| Practice Address |
429 N. Church Street Spartanburg SC 29303 |
| Mailing Address |
608 N. Brown Beaver Court Moore SC 29369 |
| Practice Telephone | 8645974458 |
| Practice Fax Number | 8645974484 |
| Mailing Telephone | 8283990032 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
965 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
429 N. CHURCH STREET |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580861 | Kristin Schmidt | Specialist/Technologist | 1600 Bethpage Dr, Spartanburg, SC 29301-3340 | 2020-02-13 |
| 1275186496 | April Taylor | Specialist/Technologist | 500 Dupre Dr, Spartanburg, SC 29307-2978 | 2019-07-17 |
| 1740700905 | Jennifer Nixon | Specialist/Technologist | 151 Ribault St Ste 200, Spartanburg, SC 29302-2630 | 2017-06-20 |
| 1740734250 | Ashley Michelle Grodecki | Specialist/Technologist | 151 Ribault St, Spartanburg, SC 29302-2630 | 2016-08-12 |
| 1205204278 | Joel Curry | Specialist/Technologist | 256 Holly Dr, Spartanburg, SC 29301-2855 | 2015-09-09 |
| 1104215771 | Matthew Rabalais | Specialist/Technologist | 110 Southport Rd Apt 77, Spartanburg, SC 29306-3867 | 2015-01-20 |
| 1255601845 | Sarah Christine Jordan | Specialist/Technologist | 1000 Powell Mill Rd, Spartanburg, SC 29301-5808 | 2012-01-12 |
| 1437382454 | Brian Curtis Keim | Specialist/Technologist | 1650 Skylyn Dr Ste 320, Spartanburg, SC 29307-1081 | 2009-08-25 |
| 1982744603 | William Lawrence Christman II | Specialist/Technologist | 429 N Church St, Spartanburg, SC 29303-3612 | 2007-02-08 |
| 1134180508 | John Douglas Handley | Specialist/Technologist | 800 University Way, Spartanburg, SC 29303-4932 | 2006-03-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on MR. MARK WILLIAM MANCEBO.
| 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.