Mark Alan Donelson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

113908 Issued in MO

Practice address

150 S Mount Auburn Rd
C/O Saint Francis Rehab
Cape Girardeau, MO 63703-4910

Phone

(573) 331-5153

Fax

(573) 331-5028

NPI assigned

Apr 3, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609838036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 STULL DR",
            "city": "BENTON",
            "state": "MO",
            "postal_code": "637368261",
            "fax_number": "573-331-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "address_2": "C/O SAINT FRANCIS REHAB",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-331-5153",
            "fax_number": "573-331-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONELSON",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "113908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Lynn Dodge, PA-C
• Heather K Dodson, M.D., FAAP
• Robert W Dodson, M.D.
• Kim Anne Doerge, MSW, LCSW
• Jeremey Scott Dohogne, O.D.
• Victoria Olivia Dormeyer, MSW, LCSW
• Chandler William Dorris, CRNA
• Sarah Dorris
• Sarah Doty, APRN
• Christina Dougherty, MA CCC-SLP, NTMTC

• Athletic Trainer in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.