Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407948029 Individual Practitioner Male Practitioner

Mark B Mead

Physician Assistant • Groton, NY

Professional Overview & Biography Verified Profile Summary

Mark Mead is a registered healthcare professional specializing in Physician Assistant in Groton, NY. Practice services are available at 100 SYKES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Sykes St

Groton, NY 130731231

Telephone 6078985827
Fax 6078989726
Associated Practice Facility / Clinic
🏢 Ahmad M. Mehdi M.d P.c Facility NPI 1578693917

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Groton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Groton, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 007106-1

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02055512 (NY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kimberly Henry , FNP

Nurse Practitioner - Family

NPI 1114332806

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 100 SYKES ST, GROTON, NY 130731231 (Tel: 6078985827)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10813 STATE ROUTE 90, LOCKE, NY 130923285 (Tel: 6078985827)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK MEAD

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

Physician Assistant (License #007106-1 in NY)

🟢
Initial NPI Registration & Enumeration September 29, 2006

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: 1407948029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

10813 State Route 90

Locke, NY 130923285

Phone: 6078985827

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.