MARK FORDHAM (NPI# 1992902266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992902266 |
| Entity Type | Individual |
| Full Name | MARK FORDHAM |
| Credential | CP |
| Practice Address |
451 Ruin Creek Rd Ste. 102 Henderson NC 27536-2878 |
| Practice Telephone | 2524362611 |
| Mailing Telephone | 2524362611 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795152 | 05 |
| Street Address |
451 RUIN CREEK RD STE. 102 |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194671 | Cornelius F Cathcart | Pediatrics | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2006-04-19 |
| 1790221612 | Interventional Pain Center, Pllc | Anesthesiology | 451 Ruin Creek Rd, Suite 103, Henderson, NC 27536-2878 | 2017-01-17 |
| 1235530825 | Lovika Horton | Nurse Practitioner | 451 Ruin Creek Rd, Henderson, NC 27536-2878 | 2014-09-15 |
| 1740613207 | Mary Leann Michelle Cathcart | Nurse Practitioner | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2013-08-19 |
| 1750635470 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 451 Ruin Creek Rd, Suite 202, Henderson, NC 27536-5965 | 2012-11-02 |
| 1881904084 | Tina Gupta Dds Pa II | Clinic/Center | 451 Ruin Creek Rd, Suite 201, Henderson, NC 27536-2878 | 2010-10-21 |
| 1588982466 | Jacquetta Taisha Randall | Pediatrics | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2010-05-17 |
| 1881926517 | Britney Kasey Sanders | Physician Assistant | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2010-02-05 |
| 1518148519 | Allison Anne Hayhurst | Physician Assistant | 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536-2878 | 2007-11-19 |
| 1083824163 | James Louis Schmitt | Pediatrics | 451 Ruin Creek Rd, Suite 101 Henderson Pediatrics Center, Henderson, NC 27536 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1932409141 | Josep Vicenc Feliu | Prosthetist | 1302 Dabney Dr, Henderson, NC 27536-3531 | 2010-10-22 |
| 1376730606 | Robert D Burris | Prosthetist | 2649 Wigwam Pkwy Ste 104, Henderson, NV 89074-7310 | 2007-10-01 |
| 1063759421 | David A Kovach | Prosthetist | 600 Whitney Ranch Dr, E-28, Henderson, NV 89014-2611 | 2013-01-04 |
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|---|---|---|---|---|
| 1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
| 1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
| 1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
| 1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
| 1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
| 1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| 1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
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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.