Mark Robert Wavrunek (NPI# 1194107607, PAC ID# 4981998390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1194107607 |
| PAC ID by PECOS | 4981998390 |
| Professional Enrollment ID | I20190719002626 |
| Full Name | Mark Robert Wavrunek |
| Organization Legal Name | BLESSING CORPORATE SERVICES |
| Address |
927 Broadway St Quincy IL 62301-2719 |
| Phone Number | 2172246423 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5991616138 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140015 | BLESSING HOSPITAL |
| 141315 | ILLINI COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1118 Hampshire St, Quincy, IL 62301-3027 | 2172231200 | BLESSING CORPORATE SERVICES |
| 927 Broadway St, Quincy, IL 62301-2719 | 2172246423 | BLESSING CORPORATE SERVICES |
| 1102 N County Rd, Suite 700, Warsaw, IL 62379-3011 | 2172563800 | BLESSING CORPORATE SERVICES |
| Organization Legal Name | BLESSING CORPORATE SERVICES |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyla R Kasparie | Nurse Practitioner | Blessing Corporate Services | 910 Broadway St, Suite D, Quincy, IL 62301-2729 |
| Clark Olavi Andelin | Obstetrics/gynecology | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Taofik Nasrat | Neurology | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Elise Scoggin | Dermatology | Blessing Corporate Services | 1132 Broadway St, Suite 200, Quincy, IL 62301-2818 |
| Katherine Anne Phillips | Nurse Practitioner | Blessing Corporate Services | 1102 N County Rd, Suite 700, Warsaw, IL 62379-3011 |
| Diane Nutter | Nurse Practitioner | Blessing Corporate Services | 326 N 24th St, Quincy, IL 62301-3140 |
| Erik Nothold | Chiropractic | Blessing Corporate Services | 332 S 36th St, Suite 3, Quincy, IL 62301-5808 |
| Brittany Egley | Nurse Practitioner | Blessing Corporate Services | 103 E Commercial St, Kahoka, MO 63445-1701 |
| Mary Jo Crawford | Family Medicine | Blessing Corporate Services | 102 E Marion St, Paris, MO 65275-1041 |
| Richard L Ohalloran | Urology | Blessing Corporate Services | 1414 Main St, Keokuk, IA 52632-3926 |
| Street Address |
927 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip | 62301-2719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clark Olavi Andelin | Obstetrics/gynecology | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Jonathan L Wilford | Family Medicine | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Alan Richard Obert | Clinical Social Worker | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Ashley Monita Smith | Clinical Social Worker | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Katherine Thomure | Clinical Social Worker | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Rebecca A Reed | Nurse Practitioner | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Kweon Stambaugh | Otolaryngology | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Andrew Michael Dunn | Family Medicine | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Stacy Lowary | Nurse Practitioner | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Maria Carolina Ld Espejo | Physical Medicine and Rehabilitation | Blessing Corporate Services | 927 Broadway St, Quincy, IL 62301-2719 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi E Ludwig | Nurse Practitioner | Illinois Veterans Home At Quincy | 1707 N 12th St, 29m, Quincy, IL 62301-1355 |
| Amanda Hubner | Nurse Practitioner | Illinois Veterans Home At Quincy | 1707 N 12th St, 29m, Quincy, IL 62301-1355 |
| Breanna Marie Schmitt | Chiropractic | Kirk G Gribler Dc Inc | 1806 Chestnut St, Quincy, IL 62301-2120 |
| Kirk G Gribler | Chiropractic | Kirk G Gribler Dc Inc | 1806 Chestnut St, Quincy, IL 62301-2120 |
| Diana J Franklin | Chiropractic | Franklin Total Wellness Center, LLC | 1201 N 24th St, Quincy, IL 62301-2232 |
| Brandon Anthony Bruening | Chiropractic | 1210 N 24th St, Quincy, IL 62301-2233 | |
| Taofik Nasrat | Neurology | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| John R S Deguzman | Physical Medicine and Rehabilitation | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Duane Anthony Hanzel | Podiatry | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Joseph Lane | Family Medicine | Blessing Corporate Services | 1107 College Ave, Suite 1, Quincy, IL 62301-2600 |
| Find all physicians in zip 62301 | |||
| City | QUINCY |
| Zip Code | 62301 |
| Specialty | PODIATRY |
| City + Specialty | QUINCY + PODIATRY |
Please comment or provide details below to improve the information on Mark Robert Wavrunek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.