Mark Harris Kolender, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2017-01979 Issued in NC

Practice address

5244B N Sharon Amity Rd
Charlotte, NC 28215-0053

Phone

(704) 536-0073

Fax

(704) 535-5722

NPI assigned

Nov 6, 2008

Last updated

Jul 21, 2022By 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

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.

• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1821419508
  NPD (past)
• Advanced Chiropractic Center

  • Chiropractor
  • Georgetown, SC
  • NPI 1083882054
  NPD (past)
• Island Breeze Chiropractic Inc

  • Chiropractor
  • Pawley's Island, SC
  • NPI 1427239698
  NPD (past)
• McDonough Pediatrics

  • Pediatrics Physician
  • McDonough, GA
  • NPI 1669668125
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710131529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 RAMSEY STREET",
            "address_2": "ATTN: REBECCA WRIGHT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111423",
            "telephone_number": "910-483-7337",
            "fax_number": "910-483-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244B N SHARON AMITY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282150053",
            "telephone_number": "704-536-0073",
            "fax_number": "704-535-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENDER",
        "first_name": "MARK",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-01979",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "SC",
            "license": "10914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEA",
            "identifier": "AK1212353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Donald Kolasch, M.D.
• Frank Kolasinski
• Kolb Counseling Group PLLC
• Carol A. Kolb, MA, LMFT, LPC
• Julie Michelle Kolczak
• Kristin Julie Kolin, LPC
• Jeanette I. Kolker, PHD
• Kyle Kolkmann, DPT
• Staci Lynne Kolko, MS BCBA
• Modou L Kolley

• Pediatrics Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.