Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michelle Alicia Mark, DO

Individual provider Family Medicine Physician · NPI 1083024194

Dr. Michelle Alicia Mark, DO is a Family Practice in Henderson, Nevada. Qualified in 2014, 12 years ago. Offers telehealth. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10001 S Eastern Ave Ste 101
Henderson, NV 89052-3908
Phone: (702) 616-5870
Fax: (702) 616-5895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO2189 (NV)

Record details

NPI number1083024194
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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