Mark K Arness, M.D.
Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Colonial Beach, VA
NPI 1831114115 · NPPES record last updated Dec 21, 2017
Key facts
- NPI
- 1831114115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- License
- 0101243162 (VA)
- Practice address
- 2400 McKinney Blvd
Colonial Beach, VA 22443-1237 - Phone
- (804) 224-2222
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912000143 | VA | Practitioner - Preventive Medicine | 5496931867 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243162 | VA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Oasis Nursing & Rehab LLC | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | D67437 | MD | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 0101243162 | VA | Yes |
Addresses
Primary practice location
2400 McKinney Blvd
Colonial Beach, VA 22443-1237
Mailing address
2400 McKinney Blvd
Colonial Beach, VA 22443-1237
Phone (804) 224-2222
Other providers in Colonial Beach, VA
- American Screening Association, Inc.
- Beachgate Family Medical Center LLC
- Colonial Beach Medical Center
- Colonial Beach Public Schools
- Colonial Beach Rescue Squad Incorporated
- Charles Crocker
All providers in Colonial Beach, VA · Preventive Medicine/Occupational Environmental Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.