MARK R OFENLOCH


Address: 1273 Dayton Mountain Hwy, Dayton, TN 37321-2816
Phone: 4235701900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
P0000001005 TN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS/BLUE SHIELD 4024807 01
TN 3685725 05

Office Location

Street Address 1273 DAYTON MOUNTAIN HWY
City DAYTON
State TN
Zip Code 37321-2816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790871861 Joseph Walter Ring Psychologist 1273 Dayton Mountain Hwy, Dayton, TN 37321-2816 2006-10-05

Providers in the same zip code

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 Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City DAYTON
Zip Code 37321

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Dataset Information

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.

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