Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265585517 Individual Practitioner Male Practitioner

Mark Joseph Colston , ATC

Specialist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Mark Colston, ATC is a registered healthcare professional specializing in Specialist in Peoria, IL. Practice services are available at 1501 W BRADLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 W Bradley Ave

Peoria, IL 616252417

Telephone 7653762657

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Peoria, IL (1322 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-21
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IN 36000941A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Eric Redman , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013982487

Certified Athletic Trainer

Megan Nixon

Specialist/Technologist - Athletic Trainer

NPI 1043496664
Delaney Taylor

Specialist/Technologist - Athletic Trainer

NPI 1093581290
Marcus Ohnemus , ATC

Specialist/Technologist - Athletic Trainer

NPI 1215990189

Certified Athletic Trainer

Chee Vang

Student in an Organized Health Care Education/Training Program

NPI 1265373047
Eric Polomis

Specialist/Technologist - Athletic Trainer

NPI 1265908776

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 21, 2024

Registered at 1501 W BRADLEY AVE, PEORIA, IL 616252417 (Tel: 7653762657)

📍
Updated Business Mailing Address February 21, 2024

Registered at 586 HERITAGE DR, MACKINAW, IL 617558991 (Tel: 7653762657)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 301 W WABASH AVE, CRAWFORDSVILLE, IN 479332417 (Tel: 7653616159)

📍
Updated Business Mailing Address July 08, 2007

Registered at 363 W STATE ROAD 32, CRAWFORDSVILLE, IN 479338965 (Tel: 7653616159)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK COLSTON, A.T.C.,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #36000941A in IN)

🟢
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265585517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: February 21, 2024
Sole Proprietor: Yes

Mailing Address

586 Heritage Dr

Mackinaw, IL 617558991

Phone: 7653762657

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.