Individual Healthcare Provider
Mark A Risen, DPM
Provider's NPPES record last updated: July 10, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1174571004
- Primary Specialty
- Podiatrist — Primary Podiatric Medicine
- Practice Location
- Campbellsville, Kentucky
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 12:08 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Primary Podiatric Medicine
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213EP1101X Podiatrist
Podiatric Medicine & Surgery Service Providers
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Taxonomy code 213E00000X
Provider-Reported License Information
- Podiatrist (Kentucky)
- 00216
- Podiatrist (Kentucky)
- 00216
Practice Locations
Practice Location
1003 Old Greensburg Rd
Campbellsville, Kentucky 42718-2571
Phone: (270) 433-5806
Additional Practice Location
310 N L Rogers Wells Blvd
Glasgow, Kentucky 42141-1300
Phone: (270) 651-6791
Fax: (270) 659-5850
Additional Practice Location
810 Jamestown St
Columbia, Kentucky 42728-1010
Phone: (270) 384-4764
Fax: (270) 384-2828
Additional Practice Location
1301 N Race St
Glasgow, Kentucky 42141-3483
Phone: (270) 651-4444
Fax: (270) 651-4892
Additional Practice Location
138 Campbellsville Byp
Campbellsville, Kentucky 42718-8843
Phone: (270) 433-5806
Fax: (270) 433-2443
Record Information
- Enumeration Date
- May 4, 2006
- Provider's NPPES Record Last Updated
- July 10, 2025
- Certification Date
- July 10, 2025
- NPISignal NPPES Dataset
- August 2026
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