Mark L. Midenberg

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

AL116 Issued in AL

Legal business name

MARK L. MIDENBERG

Doing business as

Whitesburg Podiatry

Practice address

115 Queensbury Dr SW
Huntsville, AL 35802-1501

Phone

(256) 880-0222

Fax

(256) 880-3404

NPI assigned

Nov 23, 2011

Last updated

Nov 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark L Midenberg, D.P.M.NPI 1497850655

Title

Owner

Phone

(256) 880-0222

Specialties & licenses 1

Addresses

Other names 1

• Whitesburg Podiatry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark L. Midenberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Huntsville, AL
  • NPI 1497850655
  Authorized official Same address or phone

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1659648350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 QUEENSBURY DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021501",
            "telephone_number": "256-880-0222",
            "fax_number": "256-880-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 QUEENSBURY DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021501",
            "telephone_number": "256-880-0222",
            "fax_number": "256-880-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L. MIDENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "MIDENBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-880-0222",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "AL116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitesburg Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Marabillas, BCBA
• Summer D. Marchlinski, LPC
• Elliot Lee Marcus, M.D.
• Virginia L Marek, DDS
• Jahkayla Elizah Marino
• Anderson Markham, LPC
• Edward J Markushewski, MD
• Emily Markwell
• Robert Bruce Marlow, M.D.
• Shannon Marr-Walker, OD

• Foot & Ankle Surgery Podiatrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Foot & Ankle Surgery Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.