| Dr Mark W Lafferty, MD | |
|
2815 Aaronwood Ave Ne, Massillon, OH 44646-2371 | |
| (330) 837-8300 | |
| (330) 837-8111 |
| Full Name | Dr Mark W Lafferty |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 2815 Aaronwood Ave Ne, Massillon, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336144815 | NPI | - | NPPES |
| 0760967 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35-056424 (Ohio) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 35-056424 (Ohio) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 35-056424 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aultman Hospital | Canton, OH | Hospital |
| Aultman Orrville Hospital | Orrville, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohio Specialty Physicians Corporation | 3476643479 | 66 |
| Entity Name | Ohio Specialty Physicians Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285745364 PECOS PAC ID: 3476643479 Enrollment ID: O20071213000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark W Lafferty, MD 2815 Aaronwood Ave Ne, Massillon, OH 44646-2371 Ph: (330) 837-8300 | Dr Mark W Lafferty, MD 2815 Aaronwood Ave Ne, Massillon, OH 44646-2371 Ph: (330) 837-8300 |
Dr. Warren H Kofol, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2815 Aaronwood Ave Ne, Massillon, OH 44646 Phone: 330-837-8300 Fax: 330-837-8111 | |
Charles Robert Conklin, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 323 Marion Avenue Nw, Suite 100, Massillon, OH 44646 Phone: 330-832-8800 Fax: 330-832-3142 | |
Mr. John Clarke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8012 Glendevan St Nw, Massillon, OH 44646 Phone: 504-717-9733 | |
Alan L Meshekow, DO Surgery Medicare: Medicare Enrolled Practice Location: 323 Marion Avenue Nw, Suite 100, Massillon, OH 44646 Phone: 330-832-8800 Fax: 330-832-3142 |