Active NPI
Mark Kyle Plvan
- Counselor
- Hamilton, OH
National Provider Identifier
1811216609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1490 University Blvd
Hamilton, OH 45011-3305 - Phone
- (513) 881-7189
- Fax
- (513) 881-7188
- NPI assigned
- May 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1490 University Blvd
Hamilton, OH 45011-3305
Mailing address
10 Darby CT
Fairfield, OH 45014-5259
Phone (513) 316-6710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1811216609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DARBY CT",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145259",
"telephone_number": "513-316-6710",
"fax_number": "513-881-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 UNIVERSITY BLVD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450113305",
"telephone_number": "513-881-7189",
"fax_number": "513-881-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLVAN",
"first_name": "MARK",
"middle_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.