Mark Ferrell, RT(R)

Primary specialty

Cardiac-Interventional Technology Radiologic TechnologistTaxonomy code 2471C1106X

License

500501702 Issued in IL

Practice address

702 Spruce St
Pana, IL 62557-1869

Phone

(217) 825-3677

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1972931921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SPRUCE ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571869",
            "telephone_number": "217-825-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SPRUCE ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571869",
            "telephone_number": "217-825-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "MARK",
        "credential": "RT(R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C1106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiac-Interventional Technology",
            "state": "IL",
            "license": "500501702",
            "primary": true
        },
        {
            "code": "2471C1106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiac-Interventional Technology",
            "state": "CA",
            "license": "RHF00097620",
            "primary": false
        },
        {
            "code": "2471C1106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiac-Interventional Technology",
            "state": "SC",
            "license": "00-6456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Pana, IL
• Providers in Pana, IL by specialty
• Radiologic Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.