MARK R OFENLOCH (NPI# 1992891022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992891022 |
Entity Type | Individual |
Full Name | MARK R OFENLOCH |
Credential | PH.D |
Practice Address |
1273 Dayton Mountain Hwy Dayton TN 37321-2816 |
Mailing Address |
Po Box 307 Dayton TN 37321-0307 |
Practice Telephone | 4235701900 |
Practice Fax Number | 4235700008 |
Mailing Telephone | 4235701900 |
Mailing Fax Number | 4235700008 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000001005 | TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUE CROSS/BLUE SHIELD | 4024807 | 01 |
TN | 3685725 | 05 |
Street Address |
1273 DAYTON MOUNTAIN HWY |
City | DAYTON |
State | TN |
Zip Code | 37321-2816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790871861 | Joseph Walter Ring | Psychologist | 1273 Dayton Mountain Hwy, Dayton, TN 37321-2816 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730745019 | Nicole J. Kammeyer, O.d. | Optometrist | 1286 Market Street, Dayton, TN 37321 | 2019-05-13 |
1124508429 | L M Smith Center for Dental Health | Dentist | 180 Walnut Grove Road, Dayton, TN 37321 | 2018-08-16 |
1750813986 | Jared Arthur | Counselor | 1365b Maley Hollow Rd, Dayton, TN 37321 | 2017-03-28 |
1386193068 | Richland Creek Dental LLC | Dentist | 1272 Market St, Dayton, TN 37321 | 2016-09-23 |
1427505999 | Sport & Spine | Physical Therapist | 445 Chicamagua Drive, Suite 101, Dayton, TN 37321 | 2016-09-01 |
1104175025 | Stephanie Ann Sharp | Chore Provider | 701 Belmont Farms Road, Dayton, TN 37321 | 2012-09-06 |
1841438579 | Voytik Center for Orthopedic Care, PC | Physician Assistant | 164 Walnut Grove Church Rd, Dayton, TN 37321 | 2009-02-03 |
1558581140 | James Morgan Freuler | Physician Assistant | 149 Walnut Grove Church Road, Dayton, TN 37321 | 2007-04-26 |
1215004908 | Margaret Ruth Ulrich | Audiologist-Hearing Aid Fitter | 211 Dayton Mtn Hwy, Dayton, TN 37321 | 2006-11-29 |
1053490417 | Craig Steven Swafford | Surgery | 9390 Rhea County Highway, Dayton, TN 37321 | 2006-11-04 |
Find all providers in zip 37321 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691074 | Rita A. Carlson, Psy.d., Pllc | Psychologist | 191 Shady Grove Ln, Dayton, NV 89403-6364 | 2020-08-26 |
1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
1629379920 | Allison L Fernander | Psychologist | 9 North Edwin C Moses Blvd, Dayton, OH 45402-8470 | 2010-11-03 |
1548490667 | Rahema C Rodgers | Psychologist | 5045 N Main St Ste 223, Dayton, OH 45415-3637 | 2009-07-23 |
1710151295 | Cynthia Burton Levy | Psychologist | 17 Irongate Park Dr, Dayton, OH 45459-4616 | 2008-04-16 |
1033308119 | Alice L Claggett | Psychologist | 1159 Lyons Rd, Building E, Dayton, OH 45458-1857 | 2007-10-15 |
1740483031 | Roger G Schmidt | Psychologist | 88th Medical Group/mdos, 4881 Sugar Maple Dr., Dayton, OH 45433-5529 | 2007-06-06 |
1982826590 | Kathleen Ann Malloy | Psychologist | Ellis Institute, 9 N. Edwin C. Moses Blvd., Dayton, OH 45402 | 2007-05-03 |
1669692281 | James R. P. Fraser | Psychologist | 6550 Garber Rd, Dayton, OH 45415-2000 | 2007-04-26 |
1467675637 | David Nathan Zahm | Psychologist | 13612 Voland Ct, Dayton, MD 21036-1102 | 2007-04-10 |
Find all providers in DAYTON |
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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.