MARK WHITWORTH (NPI# 1902369523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902369523 |
| Entity Type | Individual |
| Full Name | MARK WHITWORTH |
| Practice Address |
1993 Harrison St Batesville AR 72501-7309 |
| Practice Telephone | 8706989992 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1993 HARRISON ST |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598128712 | Timothy Austin Mcnamara | Family Medicine | 1993 Harrison St, Batesville, AR 72501-7309 | 2016-04-04 |
| 1508487042 | Jonmark Baker Lane | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-06 |
| 1497376107 | Edward Lee Williams Jr. | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1245851922 | Anita Afriyie Kisiedu | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1528689239 | Jonathan Zor Austin Pennington | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1538780226 | Christopher Lance Mayfield | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1427679133 | Timothy Baty | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1629531090 | Bukola Lola Oni | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2019-04-11 |
| 1033672712 | Matias Ballesteros | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2019-04-10 |
| 1760945315 | Ripsy Jassal | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1093252959 | Vu-victor Cong Van | Student in an Organized Health Care Education/Training Program | 489 Woodmont Cir, Batesville, AR 72501-8984 | 2017-01-30 |
| 1619580651 | Madison Marouk | Student in an Organized Health Care Education/Training Program | 955 Water St, Batesville, AR 72501-3455 | 2020-08-28 |
| 1508487042 | Jonmark Baker Lane | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-06 |
| 1497376107 | Edward Lee Williams Jr. | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1245851922 | Anita Afriyie Kisiedu | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1528689239 | Jonathan Zor Austin Pennington | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1538780226 | Christopher Lance Mayfield | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| 1427679133 | Timothy Baty | Student in an Organized Health Care Education/Training Program | 1993 Harrison St, Batesville, AR 72501-7309 | 2020-05-04 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.