Mark Ainsworth Pabarue

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

3812 Kentucky Derby Dr
Florissant, MO 63034-3322

Phone

(314) 659-6342

NPI assigned

Oct 1, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1811248859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 KENTUCKY DERBY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343322",
            "telephone_number": "314-659-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 KENTUCKY DERBY DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343322",
            "telephone_number": "314-659-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABARUE",
        "first_name": "MARK",
        "middle_name": "AINSWORTH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Owens
• Kwabena Owusu Dekyi, MD
• Jane Owusu-Agyeman
• P.C.S. Home Health Inc.
• P.R.I.M.E. Health Centers - Florissant LLC
• Adrienne Page
• Rose Marie Page
• Pain Management Medical Center, LLC
• Margaret Palermo, R.N.
• Michella Marie Palmer

• Contractor in Florissant, MO
• Providers in Florissant, MO by specialty
• Contractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.