Mark Warren Enander, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

00249 Issued in RI

Practice address

333 School St
Suite 203
Pawtucket, RI 02860-5334

Phone

(401) 725-8989

Fax

(401) 312-0029

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ocean Orthopedic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Pawtucket, RI
  • NPI 1063607752
  NPD
• Ocean Orthopedic Services, Inc.

  • Prosthetic/Orthotic Supplier
  • Fall River, MA
  • NPI 1831384528
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285690610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "SUITE 203",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605334",
            "telephone_number": "401-725-8989",
            "fax_number": "401-312-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "SUITE 203",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605334",
            "telephone_number": "401-725-8989",
            "fax_number": "401-312-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENANDER",
        "first_name": "MARK",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "RI",
            "license": "00249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHOOD #",
            "identifier": "2257",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "70665",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "2700154",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007066",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "203992",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS #",
            "identifier": "000249",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Ellinwood, RN
• Becky A Ellsworth, A.A.S, LCMT
• Fadya Elrayess, MD
• Christine Emond, LICSW
• Empower Community Health Services
• Encompass Pediatrics, LLC. (Encompass Family Medicine)
• Esther J. Entin, MD
• Emily Erickson, MD
• Katherine Erickson, LMHC
• Cheryl Ernst

• Foot Surgery Podiatrist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Foot Surgery Podiatrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.