Mark Daniel Dhooge

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

819 NE 26TH St
Wilton Manors, FL 33305-1239

Phone

(954) 390-7654

Fax

(954) 390-7618

NPI assigned

Nov 3, 2009

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids in Distress Inc

  • Community/Behavioral Health Agency
  • Wilton Manors, FL
  • NPI 1033204946
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1114254760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051239",
            "telephone_number": "954-390-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051239",
            "telephone_number": "954-390-7654",
            "fax_number": "954-390-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOOGE",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Davis, RPH
• Kelsey Deidrick, MD
• Shirley Carolina Delmoral, LMHC
• Denebola TR
• Joyce Despres
• Carlos S Diaz Barcelo, M.D.
• Jonathan Raymond Dolan, LMHC
• John William Doran, LCSW
• Dr Andreu J Richardson, DC, PA (Wilton Manors Family Chiropractic & Wellness Centre)
• Dr Gil, LLC

• Case Manager/Care Coordinator in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.