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DR. MARK EDWARD MIDDENDORF MD
NPI 1689638322
Family Medicine in Taylor Mill, KY

Active since April 12, 2006
5522 TAYLOR MILL RD, TAYLOR MILL, KY 41015(857) 491-2855(859) 655-4395 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Edward Middendorf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK EDWARD MIDDENDORF MD (NPI 1689638322) is an individual family medicine provider in Taylor Mill, Kentucky, licensed in Kentucky (20166) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1689638322
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK EDWARD MIDDENDORFCredential: MD
Location Address5522 TAYLOR MILL RDTaylor Mill, KY 41015-2264
Mailing Address2300 Chamber Center DrLakeside Park, KY 41017-1673 · (859) 344-5555 · Fax (859) 655-4395
Phone(857) 491-2855
Fax(859) 655-4395
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1689638322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 20166
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5522 TAYLOR MILL RD, Taylor Mill, KY 41015
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Other Identifiers 5

Medicare PIN0364967KY
Medicaid0461441OH
Medicaid64201668KY
Medicare UPINC74358KY
Medicare PIN080179265KY

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRINITY RAMMEL BCBA
Behavior Analyst
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (855) 444-5664
ALEXIS JORDAN BROCK BCBA
Behavior Analyst
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (859) 317-5985
SHELBY BURKHEAD
Behavior Analyst
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (859) 303-9891
ALYSSA MAE SCHEID
Behavior Analyst
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (859) 317-5985
KELLI SCHAAR-EVISTON ARNP
Nurse Practitioner
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (859) 491-2855
TAYLOR RENEE LUHR MABA, BCBA
Behavior Analyst
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (855) 444-5664
DR. SHARON M SCHAFFIELD OD
Optometrist
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (859) 581-7200
LAUREN ZERIS GREELY
Behavior Analyst
5522 TAYLOR MILL RD
TAYLOR MILL, KY 41015
Kenton County (855) 444-5664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Middendorf's NPI number?

The NPI number for Mark Middendorf is 1689638322. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Mark Middendorf located?

Mark Middendorf practices at 5522 Taylor Mill Rd, Taylor Mill, KY 41015. The listed phone number is (857) 491-2855.

What is Mark Middendorf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Middendorf was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.