DR. KONRAD ALAN MARK (NPI# 1912009507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912009507 |
| Entity Type | Individual |
| Full Name | DR. KONRAD ALAN MARK |
| Credential | M.D. |
| Practice Address |
6 Mill St Arlington MA 02476-4719 |
| Practice Telephone | 7816461717 |
| Mailing Telephone | 7816461717 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
46998 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 616789 | 05 |
| Street Address |
6 MILL ST |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02476-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479106 | Terry Ellis Real | Social Worker | 754 Massachusetts Avene, Arlington, MA 02476 | 2020-08-25 |
| 1992313340 | Shivam Kamlesh Gosai | Counselor | 670r Massachusetts Av/, Whittemore Robbins House, Arlington, MA 02476 | 2020-07-21 |
| 1912559246 | Hilary Scheintaub | Student in an Organized Health Care Education/Training Program | Boston College Biology Department, 355 Higgins Hall, Chestnut Hill, MA 02476 | 2019-07-16 |
| 1871076075 | Lourie August | Social Worker | Council On Aging, 27 Maple St, Arlington, MA 02476 | 2018-09-13 |
| 1235612904 | Marci Susan Shapiro-ide | Social Worker | Arlington Council On Aging, 27 Maple Street, Arlington, MA 02476 | 2018-09-10 |
| 1336621796 | Elizabeth W Rollins | Social Worker | 47 Ottawa Rd, Arlington, MA 02476 | 2018-09-02 |
| 1417439878 | Emily F Freisen | Occupational Therapist | 22 Mill Street Suite 302, Arlinton, MA 02476 | 2018-09-02 |
| 1093294886 | Michael Greenstein | Social Worker | Ottoson Middle School, 63 Acton St., Arlington, MA 02476 | 2018-08-13 |
| 1932627577 | Lori Peters | Counselor | 691 Massachusetts Ave. Suite #5, Arlington, MA 02476 | 2017-09-05 |
| 1235651290 | Stephen Marshall | Psychologist | 259 Massachusetts Ave., Arlington, MA 02476 | 2017-07-12 |
| Find all providers in zip 02476 | ||||
| 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 |
|---|---|---|---|---|
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1093963365 | Michael Nabil Khoury | Psychiatry & Neurology | 1425 S Eads St, Apt. 402, Arlington, VA 22202-2847 | 2008-08-28 |
| 1164680674 | Rajesh Gupta | Psychiatry & Neurology | 1850 Columbia Pike Apt 329, Arlington, VA 22204-6226 | 2008-05-30 |
| 1982814570 | Halim Fadil | Psychiatry & Neurology | 801 Road To Six Flags W Ste 127, Arlington, TX 76012-2600 | 2007-05-23 |
| 1841357555 | Archie Mcpherson | Psychiatry & Neurology | 1635 N George Mason, #420, Arlington, VA 22205 | 2007-01-02 |
| 1578629986 | Wesley Don Dennis | Psychiatry & Neurology | 7416 S Cooper St, Suite 150, Arlington, TX 76001-7025 | 2006-12-29 |
| 1558466466 | Jean Vike | Psychiatry & Neurology | 1600 N Oak St Apt 817, Arlington, VA 22209-2764 | 2006-09-14 |
| 1801828363 | Dung (huy) Chi Nguyen | Psychiatry & Neurology | 1102 Orchard Dr, Arlington, TX 76012-2534 | 2006-07-07 |
| 1689664864 | John Joseph Palmieri | Psychiatry & Neurology | 2100 Washington Blvd Fl 4, Arlington, VA 22204-5717 | 2005-10-27 |
| 1548259666 | Alberto Chalmeta | Psychiatry & Neurology | 611 S Carlin Springs Rd, Number 208, Arlington, VA 22204-1064 | 2005-10-20 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on DR. KONRAD ALAN MARK.
| 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.