Mark Dee Fiedler, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12676 Issued in SC

Practice address

500 Nelson Blvd
Kingstree, SC 29556-4027

Phone

(843) 355-0201

NPI assigned

Sep 22, 2005

Last updated

Jul 9, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pee Dee Foot Center, PA

  • Foot & Ankle Surgery Podiatrist
  • Kingstree, SC
  • NPI 1518048404
  NPD (past)
• Williamsburg Regional Hospital

  dba Williamsburg Foot Center

  • Podiatrist
  • Kingstree, SC
  • NPI 1962949933
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1427044742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564027",
            "telephone_number": "843-355-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NELSON BLVD",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295564027",
            "telephone_number": "843-355-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEDLER",
        "first_name": "MARK",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "12676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126768",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mekhayla Epps
• Robbie Epps
• Excellent Black Rose Home Care LLC
• Eyn Entertainment (Lavash Entertainment)
• Eyn Entertainment (Lavash Entertainment)
• Carole Ann Finch, PA-C
• First Care Medical Transport, LLC
• Dorothy L Floyd, RN BSN CRRN
• Harry Wells Floyd, MD
• Kyle Floyd

• Surgery Physician in Kingstree, SC
• Providers in Kingstree, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.