Mark Randall Jennings in Anderson - Internal Medicine

Mark Randall Jennings - NPI 1003915539

Mark Randall Jennings is a Internal Medicine in Anderson, Indiana. Mark Randall Jennings practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Randall Jennings is 1003915539. The last update date is 2015-03-31.

Mark Randall Jennings's current location address is 2015 Jackson St, Anderson, Indiana. You can contact this provider via phone number 7656492511. The mailing address for Mark Randall Jennings is 2015 Jackson St, Anderson, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Randall Jennings
Address 2015 Jackson St, Anderson, Indiana
Phone Number 7656492511
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003915539
Provider Enumeration Date 2006-09-21
Last Updated Date 2015-03-31

Provider Mailing Address Detail

Address 2015 Jackson St
City Anderson
State Indiana (IN)
Post Code 460164337
Phone Number 7656492511
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 1037730
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100172700 IN --

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FAQs about Mark Randall Jennings

What is the unique identifier code issued to Mark Randall Jennings by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Randall Jennings has been assigned the NPI (National Provider Identifier) 1003915539. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Mark Randall Jennings is geographically located?

The Mark Randall Jennings is physically situated at the following location: 2015 Jackson St, Anderson, IN, 460164337.

What is Mark Randall Jennings's area of expertise and its corresponding taxonomy classification?

The Mark Randall Jennings's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1003915539 assigned to Mark Randall Jennings?

The Mark Randall Jennings was issued its 1003915539 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Mark Randall Jennings last refreshed?

The information related to the Mark Randall Jennings, including its address, specialty, and other relevant details, was last updated on 2015-03-31.

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