Mr Mark A Sudimak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kent, Ohio. His current practice location is
4591 Creekside Dr, Kent, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 524-9937.
Mr Mark A Sudimak is licensed to practice in Ohio (license number 019368) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174075196.
Provider's Profile
Full Name | Mr Mark A Sudimak |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 4591 Creekside Dr, Kent, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Mark A Sudimak attended and graduated from in
NPI Data:
- NPI Number: 1174075196
- Provider Enumeration Date: 10/25/2016
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Mark A Sudimak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174075196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 357443 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 019368 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark A Sudimak is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mark A Sudimak, CRNA 2313 S Hametown Rd, Copley, OH 44321-2454 Ph: (330) 524-9937 | Mr Mark A Sudimak, CRNA 4591 Creekside Dr, Kent, OH 44240-7376 Ph: (330) 524-9937 |
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