MARK THOMAS (NPI# 1922557073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922557073 |
| Entity Type | Individual |
| Full Name | MARK THOMAS |
| Practice Address |
1555 N 17th Ave Greeley CO 80631-9117 |
| Practice Telephone | 9703046415 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
06D0665967 | CO | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740697937 | Mark David Thomas | Nurse Practitioner | 1534 Clay St Apt 5, San Francisco, CA 94109-3848 | 2014-07-19 |
| 1811233794 | Mark Shannon Thomas | Specialist/Technologist, Other | 2124 Fountain Sq, Snellville, GA 30078-3196 | 2012-12-20 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1003138785 | Mark Carl Thomas | Orthopaedic Surgery | 11611 Eureka Way, South Jordan, UT 84095-7916 | 2010-02-22 |
| 1396988705 | Mark K Thomas | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1093970196 | Mark S Thomas | Respiratory Therapist, Registered | 649 Meadowood St, Grand Junction, CO 81504-6977 | 2008-07-28 |
| 1538359377 | Mark Edward Thomas | Dentist | 3500 Truxtun Avenue, Suite A, Suite B, Bakersfield, CA 93301-3018 | 2007-07-27 |
| 1609919349 | Mark Edward Thomas | Marriage & Family Therapist | 686 E Mill St, San Bernardino, CA 92415-5230 | 2007-02-14 |
| 1740384346 | Mark Alan Thomas | Chiropractor | 4624 Lebanon Pike, Hermitage, TN 37076-1316 | 2006-09-12 |
| 1750304796 | Mark William Thomas | Medical Genetics, Ph.D. Medical Genetics | 7210 N Main St Ste 205, Clarkston, MI 48346-1575 | 2006-07-25 |
| Street Address |
1555 N 17TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-9117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753107 | Terri Yetter | Nurse Practitioner | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2005-07-07 |
| 1962017954 | Kelly Gall | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2020-09-15 |
| 1659915189 | Lorena Marquez | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-10-28 |
| 1144787102 | Megan Ashley Page | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-02-26 |
| 1790242071 | Caitlin Elizabeth Young | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-02-22 |
| 1639646508 | Alex Tannon Carmitchel-fifer | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-10-30 |
| 1619450822 | Sarah Mae Mcfadden | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-09-13 |
| 1396225611 | Laura Vickerman | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-08-16 |
| 1225524945 | Kiley Long | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-07-05 |
| 1861994030 | Nicole Bondy | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2018-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973794 | Donald Channing Cooper | Pathology | 10190 Bannock St Ste 102, Northglenn, CO 80260-6052 | 2020-05-09 |
| 1902104433 | Laura K Bechtel | Pathology | 4720 Forge Rd, Suite 108, Littleton, CO 80127 | 2011-03-08 |
| 1083178727 | Meng Su | Pathology | 12705 E Montview Blvd, Aurora, CO 80045-7108 | 2019-01-28 |
| 1801288139 | Michelle Klein | Pathology | 730 W Hamden Ave, Suite 200, Englewood, CO 80110-2800 | 2015-02-24 |
| 1770725442 | Roy Lee Morehead Jr. | Pathology | 801 S Cedar St, Cortez, CO 81321-4019 | 2009-03-27 |
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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.