Mark D McAllister, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME57718 Issued in FL

Practice address

24040 S Tamiami TRL Ste 202
Bonita Springs, FL 34134-7040

Phone

(239) 624-7100

Fax

(239) 624-7101

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1275658536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24040 S TAMIAMI TRL STE 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347040",
            "telephone_number": "239-624-7100",
            "fax_number": "239-624-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24040 S TAMIAMI TRL STE 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347040",
            "telephone_number": "239-624-7100",
            "fax_number": "239-624-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301051610",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME57718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000754000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7UJYG",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew P Powers MD PA (Wound Healing Center of Bonita)
• Lisa Matulka, MA83905
• Maximum Achievers, LLC
• Frank Leonard Mazzella II, DC
• MC Fitness LLC (InMotion Fitness and Physical Therapy)
• Donald M McCarren, DO
• David Michael McCleaf, DPT
• Christine McCully, MA, LMHC
• Patricia J McDevitt, MPT
• Amanda V McManaway, PHARMD

• Family Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.