Mark A Risen, DPM,
NPI 1154346948ActiveOrganization· Podiatrist· Campbellsville, KY
Podiatrist in Campbellsville, Kentucky, registered in NPPES in July 2006. The authorized official on file is Mark A. Risen, DPM., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154346948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2006 |
| Last updated in NPPES | Sep 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 00216 | KY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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