Mark Warren Nelson, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

34.009868 Issued in OH

Practice address

7590 Auburn Rd
Concord TWP, OH 44077-9176

Phone

(440) 354-4208

Fax

(440) 354-1151

NPI assigned

Aug 12, 2008

Last updated

May 17, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, UT, NV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Pathology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Experts IncGroup PAC ID 6204202138, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021
• Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pathology Experts Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • St George, UT
  • NPI 1699402214
  Medicare reassignment Care Compare group NPD
• Osmond Pathology PC

  dba Nevada Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Mesquite, NV
  • NPI 1437913464
  Medicare reassignment NPD
• Pathology Services PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Cedar City, UT
  • NPI 1992777601
  Medicare reassignment NPD
• Pathology Services PC

  • Clinical Medical Laboratory
  • St George, UT
  • NPI 1255971198

  Anatomic Pathology & Clinical Pathology

  NPD
• DRS. Hill and Chapnick, Inc.

  • Clinical Medical Laboratory
  • Concord, OH
  • NPI 1326007980
  NPD (past)
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Madison, OH
  • NPI 1134189376
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Cedar City Hospital

  • General Acute Care Hospital
  • Cedar City, UT
  • NPI 1538178801
  Care Compare affiliation

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1346496163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-354-4208",
            "fax_number": "440-354-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7590 AUBURN RD",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779176",
            "telephone_number": "440-354-4208",
            "fax_number": "440-354-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARK",
        "middle_name": "WARREN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "58.002167",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "34.009868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Christopher Modarelli, DO
• Razieh Mohseni, MD
• Debra Monahan
• Maureen Patricia Murray, NP-C
• Marwan G Nasif, MD
• William David Nelson Sr., DDS
• Melissa Noeyack, LPN
• Northern Ohio Medical Specialists, LLC
• Katherine M Novotny, NP-C
• Jordan Oddis

• Anatomic Pathology & Clinical Pathology Physician in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.