Mark Veronneau Plastics & ENT, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MARK VERONNEAU PLASTICS & ENT, PLLC

Practice address

5322 Ky Route 321
Prestonsburg, KY 41653-9114

Phone

(606) 886-2712

Fax

(606) 886-2712

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mark Joseph Veronneau, D.O.NPI 1932208899

Title

Physician

Phone

(606) 886-2712

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Veronneau, DO

  • Otolaryngology Physician
  • Prestonsburg, KY
  • NPI 1932208899
  Medicare reassignment Care Compare group NPD Authorized official
• William Brian Helton, MD

  • Otolaryngology Physician
  • Prestonsburg, KY
  • NPI 1174786115
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1316005044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "STAFFORDSVILLE",
            "state": "KY",
            "postal_code": "412560513",
            "telephone_number": "606-886-2712",
            "fax_number": "606-886-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539114",
            "telephone_number": "606-886-2712",
            "fax_number": "606-886-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK VERONNEAU PLASTICS & ENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "VERONNEAU",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "606-886-2712",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marcum
• Krissy L Marcum, APRN, CNM
• Shaun Marcum
• Victoria Marcum
• Brittany Mardis
• Brandon Marshall
• Carla Marshall
• Miriam Marshall, LPCC
• Misty Marshall
• Molly Marshall

• Otolaryngology Physician in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Otolaryngology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.