Mark A. Smith Md Inc. | |
731 Canton Rd Akron OH 44312-2606 | |
(330) 784-1121 | |
(330) 784-1312 |
Full Name | Mark A. Smith Md Inc. |
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Speciality | Internal Medicine |
Location | 731 Canton Rd, Akron, Ohio |
Authorized Official Name and Position | Mark A Smith (OWNER) |
Authorized Official Contact | 3307841121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mark A. Smith Md Inc. 731 Canton Rd Akron OH 44312-2606 Ph: (330) 784-1121 | Mark A. Smith Md Inc. 731 Canton Rd Akron OH 44312-2606 Ph: (330) 784-1121 |
NPI Number | 1093159618 |
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Provider Enumeration Date | 04/25/2013 |
Last Update Date | 04/25/2013 |
Medicare PECOS PAC ID | 5890932446 |
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Medicare Enrollment ID | O20130520000197 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093159618 | NPI | - | NPPES |
0571117 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35049167 (Ohio) | Primary |
Provider Name | Mark A Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497727242 PECOS PAC ID: 2062553118 Enrollment ID: I20100112000010 |
Provider Name | Alec M Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841073533 PECOS PAC ID: 4082143862 Enrollment ID: I20250123001026 |
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