Active NPI
Mark K. Poff, D.O.
- Psychiatry Physician
- The Villages, FL
National Provider Identifier
1962468918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS10580
- Practice address
- 8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884 - Phone
- (352) 674-5000
- NPI assigned
- Apr 26, 2006
- Last updated
- Jul 27, 2012
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS10580 | FL | Primary |
Addresses
Primary practice location
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Mailing address
8900 SE 165TH Mulberry LN
The Villages, FL 32162-5884
Phone (352) 674-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592420282 | Other | FL | TAX ID |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Psychiatric Services PC | Psychiatry | Past | Accepting new patients |
| State of Alabama Dept of Finance | Past | Accepting new patients | |
| State of Alabama Dept of Finace | Past | Accepting new patients | |
| Ionia County Community Mental Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Birmingham, AL
- NPI 1033159306
-
- Public Health or Welfare Agency
- Ionia, MI
- NPI 1760452122
-
dba Taylor Hardin Secure Medical Facility
- Psychiatric Hospital
- Tuscaloosa, AL
- NPI 1437295409
-
dba Searcy Hospital
- Psychiatric Hospital
- Mount Vernon, AL
- NPI 1427066307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1962468918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625884",
"telephone_number": "352-674-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SE 165TH MULBERRY LN",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625884",
"telephone_number": "352-674-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POFF",
"first_name": "MARK",
"middle_name": "K.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS10580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "592420282",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.