MARK D NIEHAUS (NPI# 1972541548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972541548 |
| Entity Type | Individual |
| Full Name | MARK D NIEHAUS |
| Credential | MD |
| Practice Address |
416 Albemarle Sq Charlottesville VA 22901 |
| Mailing Address |
Po Box 79777 Baltimore MD 21279-0777 |
| Practice Telephone | 4346542830 |
| Practice Fax Number | 8332323632 |
| Mailing Telephone | 4346547794 |
| Mailing Fax Number | 8337323632 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101234414 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101234414 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 416 Albemarle Sq, Charlottesville, VA 229017400 | 4349782126 | 4349734452 |
| Street Address |
416 ALBEMARLE SQ |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225277 | Kurtis Scott Elward | Family Medicine | 416 Albemarle Sq, Charlottesville, VA 22901 | 2005-06-15 |
| 1588216014 | Christine Ann Arcidicono | Nurse Practitioner | 416 Albemarle Sq, Charlottesville, VA 22901-7400 | 2019-07-15 |
| 1023452562 | Mary Whittemore | Family Medicine | 416 Albemarle Sq, Charlottesville, VA 22901 | 2013-04-27 |
| 1932443736 | Kimberly R T Carter | Nurse Practitioner | 416 Albemarle Sq, Charlottesville, VA 22901 | 2012-11-16 |
| 1861410086 | Kelly J Maupin | Nurse Practitioner | 416 Albemarle Sq, Charlottesville, VA 22901-7400 | 2006-07-17 |
| 1649217845 | Albemarle Square Family Healthcare A Division of Anchor Healthcare Plc | Family Medicine | 416 Albemarle Sq, Charlottesville, VA 22901-7400 | 2006-05-31 |
| 1093789232 | Jane Shaw | Family Medicine | 416 Albemarle Sq, Charlottesville, VA 22901-7400 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1710414974 | Michael Anthony Gallagher | Internal Medicine | 1215 Lee St Box 800744, Charlottesville, VA 22908-0816 | 2017-05-18 |
| 1881042232 | David Riley | Internal Medicine | 1240 Lee St Box Number 800716, Charlottesville, VA 22908-4923 | 2016-05-26 |
| 1790149920 | Kendall Michelle Stone | Internal Medicine | 1214 Lee St, Box 800744, Charlottesville, VA 22908-0816 | 2016-04-13 |
| 1518342443 | Mohammed Yousef Al Mulhim | Internal Medicine | 1215 Lee Street - Box Number 800133, Charlottesville, VA 22908-1216 | 2015-07-21 |
| 1285016048 | Brent James Portz | Internal Medicine | 1215 Lee St # 800133, Charlottesville, VA 22908-2922 | 2015-06-29 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1720489495 | Marian Chung | Internal Medicine | 2212 Shepherds Ridge Rd, Charlottesville, VA 22901-0674 | 2014-09-11 |
| 1669880167 | Jamie Macleod | Internal Medicine | 1215 Lee Street - Box Number 800696, Charlottesville, VA 22908-4728 | 2014-07-28 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.