Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013901784 Individual Practitioner Male Practitioner

Dr. Mark H Kadowaki , MD

Surgery • Kingsport, TN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kadowaki, MD is a registered healthcare professional specializing in Surgery in Kingsport, TN. Practice services are available at 121 E RAVINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 E Ravine Rd
Suite 200

Kingsport, TN 376603816

Telephone 4234087050
Fax 4234087054
Associated Practice Facility / Clinic
🏢 Cynthia Poortenga, Md Pc Facility NPI 1922171149

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kingsport, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.2 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
25 Specialists

Practicing in Kingsport, TN (682 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 44850

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1013901784 (VA)
Commercial Insurance / Payer ID Blue Cross Tennessee
4238238 (TN)

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1023119047

Registered Pharmacist

Dr. David Franzus , MD

Internal Medicine

NPI 1366425498

Doctor of Medicine (M.D.)

NPI 1790122281

Doctor of Pharmacy (Pharm.D.)

NPI 1811991631

Doctor of Medicine (M.D.)

NPI 1902243496

Doctor of Pharmacy (Pharm.D.)

NPI 1922108687

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2012

Registered at 121 E RAVINE RD, SUITE 200, KINGSPORT, TN 376603816 (Tel: 4234087050)

📍
Updated Business Mailing Address July 10, 2012

Registered at 999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 376604632 (Tel: 4232243250)

👤
Provider Name / Credentials Updated July 10, 2012

Recorded as MARK KADOWAKI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2012

Surgery (License #44850 in TN)

🟢
Initial NPI Registration & Enumeration September 08, 2005

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: 1013901784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: July 10, 2012
Sole Proprietor: No

Mailing Address

999 Executive Park Blvd, Suite 201

Kingsport, TN 376604632

Phone: 4232243250

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.