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DEBORAH WEN-YEE MARK MD NPI 1972687309


NPI Information

NPI: 1972687309
Provider Name: DEBORAH WEN-YEE MARK, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
115 WINWOOD DRIVE
CENTENNIAL PEDIATRICS STE 105
LEBANON, TN
ZIP 37087
Phone: (615) 453-1930
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Deborah Wen-yee Mark, MD is a pediatrics in Lebanon, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Deborah Wen-yee Mark, MD NPI is 1972687309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 WINWOOD DRIVE
CENTENNIAL PEDIATRICS STE 105
LEBANON, TN
ZIP 37087
Phone: (615) 453-1930
Fax: (615) 453-1848

The enumeration date for this NPI number is 10/24/2006 and was last updated on 3/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMA68658NEW JERSEYNo
2208000000XPediatrics42798TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13000197MEDICARE PIN
21501011MEDICAIDTENNESSEE
3H24774MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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