| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 04/25/2013 |
| Medicare PECOS PAC ID | 5890932446 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497727242 PECOS PAC ID: 2062553118 Enrollment ID: I20100112000010 |
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