Mark S Cresenzo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31465 Issued in NC

Practice address

192 Cresenzo Rd
Reidsville, NC 27320-9356

Phone

(336) 342-1985

NPI assigned

Nov 15, 2005

Last updated

Jul 11, 2011By 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

Locations

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.

• Belmont Medical Associates PLLC

  • Family Medicine Physician
  • Reidsville, NC
  • NPI 1255334181
  NPD

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1902888092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 CRESENZO RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209356",
            "telephone_number": "336-342-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 CRESENZO RD",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209356",
            "telephone_number": "336-342-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESENZO",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31465",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "31465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8925636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Health Care, LLC (Shapiro Eye Care)
• Dawn Madren Corum, LPN
• James Randall Cothran, CSAC
• Mark Christopher Cotter, O.D.
• Frances Hough Cresenzo-Dishmon, CNM
• Angela Crouch
• Mary D Crumpton, RD, LDN
• Curis at Reidsville Opco LLC (Curis at Reidsville Transitional Care & Rehabilitation Center)
• Karen E Daniel, CRNA
• Daphne's Family Care Home

• Family Medicine Physician in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.