Mark J Jaben, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

29599 Issued in NC

Practice address

78 Boardwalk LN
Waynesville, NC 28786-6863

Phone

(828) 456-4159

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Swain Integrated Services, PC

  • Emergency Medicine Physician
  • Bryson City, NC
  • NPI 1043752363
  Medicare reassignment NPD
• Sylva Emergency Group LLC

  • Emergency Medicine Physician
  • Sylva, NC
  • NPI 1669808143
  Medicare reassignment NPD
• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  Medicare reassignment NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, NC

  Medicare reassignment NPD
• Catawba Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Hickory, NC
  • NPI 1881641819
  NPD (past)
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348
  NPD (past)
• Haywood Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Clyde, NC
  • NPI 1801837869
  NPD (past)
• North Carolina Emergency Partners LLC

  • Emergency Medicine Physician
  • Statesville, NC
  • NPI 1730405093
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1689613796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BOARDWALK LN",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866863",
            "telephone_number": "828-456-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BOARDWALK LN",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866863",
            "telephone_number": "828-456-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABEN",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "29599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132U5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q29591",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "132U5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00010547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Higgin Hussey, LCSW
• Ingles Markets Inc
• Ingles Markets Inc
• Insight Therapy Group PLLC
• Alexandria Michele Israel, COTA/L
• Jackson County Psychological Services
• Jackson Medical Associates, PLLC
• Kurtis Dale James, LCSW, LCAS
• Penny C James, MSW, LCSW, C-CATODSW
• Brooklyn Jamison

• Emergency Medicine Physician in Waynesville, NC
• Providers in Waynesville, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.