Mark S. Cantieri, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

IN2001185A Issued in IN

Practice address

3555 Park PL W
Ste 200
Mishawaka, IN 46545-3513

Phone

(574) 271-8646

Fax

(574) 271-8624

NPI assigned

Jun 10, 2005

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 Osteopathy

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 and National Provider Directory roles.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1851395487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12497 DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449449",
            "telephone_number": "574-633-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 PARK PL W",
            "address_2": "STE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453513",
            "telephone_number": "574-271-8646",
            "fax_number": "574-271-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTIERI",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IN",
            "license": "IN2001185A",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IA",
            "license": "IA01993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011350A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Curtis Cameron
• Eduardo Campos-Hernandez, PT
• Cancer Care Partners LLC
• Cancer Care Partners LLC
• Cancer Care Partners, LLC
• Jodi Carbone
• Ralph F Carbone Jr., DO
• Zerina Cardaklija
• Carrie Michele Cardwell
• Care First Services LLC

• Neuromusculoskeletal Medicine & OMM Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.