| NPI | 1205919875 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-10-24 |
| Last Updated | 2017-01-30 |
| Mailing Address | 2009 Old Main Street Maysville, KY 41056 United States Phone: (606) 759-7615 | Fax: (606) 759-7821 📍 View Map |
| Primary Practice Address | 2009 Old Main Street Maysville, KY 41056 United States Phone: (606) 759-7615 | Fax: (606) 759-7821 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | KY | 64244304 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | KY | 24430 |
| No | 208000000X – Pediatrics | KY | 24430 |
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About NPI 1205919875
Mark Allen Wallingford MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205919875. The primary specialty listed is Internal Medicine. The provider is located in Maysville, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205919875?
NPI 1205919875 belongs to Mark Allen Wallingford MD, a Internal Medicine in Maysville, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205919875 active?
The current status of NPI 1205919875 in the NPPES registry is Active. The record was last updated on 2017-01-30.
What specialty is NPI 1205919875?
NPI 1205919875 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205919875?
You can verify NPI 1205919875 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205919875?
The primary practice address on file for NPI 1205919875 is 2009 Old Main Street, Maysville, KY 41056. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205919875 issued?
NPI 1205919875 was first issued (enumerated) on 2006-10-24. The NPPES record was last updated on 2017-01-30.
Practice Location Map
Mark Allen Wallingford is located at 2009 Old Main Street, Maysville, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mark Allen Wallingford. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1205919875. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 24430 | KY |
| Pediatrics | 24430 | KY |