Mark Smith, MD | |
420 Superior St, Sandusky, OH 44870-1849 | |
(419) 626-5623 | |
(419) 626-8778 |
Full Name | Mark Smith |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 420 Superior St, Sandusky, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013095298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.049915 (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Mark Smith, MD 420 Superior St, Sandusky, OH 44870-1849 Ph: (419) 626-5623 | Mark Smith, MD 420 Superior St, Sandusky, OH 44870-1849 Ph: (419) 626-5623 |
John Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Michael Babiuch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Edward Radatz Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Susie Wyse, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 | |
Jared Michael Lizzi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Hayes Ave, Sandusky, OH 44870 Phone: 419-202-1705 Fax: 419-626-8316 | |
Scott Campbell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Decatur St, Sandusky, OH 44870 Phone: 419-626-7400 |