Active NPI 1639881881 Individual Practitioner Male Practitioner

Mark John Telisman

Registered Nurse - General Practice • Willoughby, OH

Professional Overview & Biography Verified Profile Summary

Mark Telisman is a registered healthcare professional specializing in Registered Nurse - General Practice in Willoughby, OH. Practice services are available at 35000 KAISER CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35000 Kaiser Ct

Willoughby, OH 440943382

Telephone 4402694600

Associated Practice Facility / Clinic

🏢 Universal Therapy Dynamics, Inc Facility NPI 1740288919

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Willoughby, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 5.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Willoughby, OH (297 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

CMS Verified: 2022-12-20

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License OH 279674

Definition to come...

Practice Associates & Co-Workers

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

27 Associated Practitioners

Edita Jones , LISW

Social Worker

NPI 1013526805

Licensed Independent Social Worker

Brittney Copen , RN

Registered Nurse

NPI 1104538529

Registered Nurse

James Christiansen , RN

Registered Nurse - Case Management

NPI 1104538644

Registered Nurse

Maria Petty , NURSE PRACTITIONER

Nurse Practitioner - Primary Care

NPI 1114204419

NURSEPRACTITIONER

Amanda Weybrecht

Licensed Practical Nurse

NPI 1134831100

Mary Patty

Licensed Practical Nurse

NPI 1134831407

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 20, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2022

Registered at 35000 KAISER CT, WILLOUGHBY, OH 440943382 (Tel: 4402694600)

📍

Updated Business Mailing Address December 20, 2022

Registered at 35000 KAISER CT, WILLOUGHBY, OH 440943382 (Tel: 4402694600)

👤

Provider Name / Credentials Updated December 20, 2022

Recorded as MARK TELISMAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2022

Registered Nurse (License #279674 in OH)

🟢

Initial NPI Registration & Enumeration December 20, 2022

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: 1639881881

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 20, 2022

Last Update: December 20, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

35000 Kaiser Ct

Willoughby, OH 440943382

Phone: 4402694600

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.