MARK FERRELL (NPI# 1972931921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972931921 |
| Entity Type | Individual |
| Full Name | MARK FERRELL |
| Credential | RT(R) |
| Practice Address |
702 Spruce St Pana IL 62557-1869 |
| Practice Telephone | 2178253677 |
| Mailing Telephone | 2178253677 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C1106X |
Radiologic Technologist Specialization: Cardiac-Interventional Technology |
00-6456 | SC | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C1106X |
Radiologic Technologist Specialization: Cardiac-Interventional Technology |
RHF00097620 | CA | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471C1106X |
Radiologic Technologist Specialization: Cardiac-Interventional Technology |
500501702 | IL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588220982 | Mark Ferrell | Behavior Technician | 3350 Collingwood Blvd, Toledo, OH 43610-1173 | 2019-05-13 |
| Street Address |
702 SPRUCE ST |
| City | PANA |
| State | IL |
| Zip Code | 62557-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033567805 | Joni Marie Lidy | Speech-Language Pathologist | 1000 E. 6th Street, Pana, IL 62557 | 2016-06-01 |
| 1750538237 | Nancy L. Simpson | Physical Therapy Assistant | 100 E 6th St. Rd., Pana, IL 62557 | 2008-08-26 |
| 1306093661 | Maiden Louise Axalan Bacolod | Physical Therapist | 900 S Chestnut, Prairie Rose Healthcare Center, Pana, IL 62557 | 2008-08-19 |
| 1922128123 | Randall Dean Floyd | Dentist | 9 South State Street, Pana, IL 62557 | 2007-03-30 |
| 1114056363 | Laurie Cunnington | Family Medicine | 101 East Ninth St, Pana, IL 62557 | 2007-03-05 |
| 1871688390 | Donald Metzger | Pharmacist | 28 East Second, Pana, IL 62557 | 2006-10-03 |
| 1851486377 | John A Metzger | Pharmacist | 28 East Second Street, Pana, IL 62557 | 2006-10-03 |
| 1437228319 | Deogracias F Quizon | Family Medicine | 217 S Locust St, Pana Medical Group LLC, Pana, IL 62557 | 2006-11-07 |
| 1235225236 | Pana Community Hospital Association | Clinic/Center | 101 E 9th St, Suite 105, Pana, IL 62557 | 2006-10-05 |
| 1245437797 | Hickory Estates of Pana LLC | Assisted Living Facility | 101 N Hickory St, Pana, IL 62557-1040 | 2007-06-28 |
| Find all providers in zip 62557 | ||||
| Taxonomy Code | 2471C1106X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Cardiac-Interventional Technology |
| Definition to come. |
Please comment or provide details below to improve the information on MARK FERRELL.
| 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.