MD Mark Wathen, NPI 1104925536
Clinical Cardiac Electrophysiology Physician in Cookeville, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1104925536
NPI Entity Type Individual
Provider Name MD Mark Wathen
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 228 W 4th St, Suite 200, Cookeville, TN, US
Provider Mailing Address 228 W 4th St, Suite 200, Cookeville, TN, US, 385012488
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0001X

Taxonomy Name Clinical Cardiac Electrophysiology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 23921
License State TN
Description A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Business Address

MD Mark Wathen
228 W 4th St
Suite 200

Cookeville, TN, US

Phone: 931-372-0405
Fax: 931-372-0463

Mailing Address

MD Mark Wathen
228 W 4th St
Suite 200
Cookeville, TN, US
ZIP 385012488
Phone: 931-372-0405
Fax: 931-372-0463

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

23921 TN No

207RC0000X

Allopathic & Osteopathic Physicians

Internal Medicine

23921 TN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
4288686 TN BCBS 01
1509597 TN MEDICAID 05

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MRS. PA-C Brittany C Smith

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