Mark Andrew Gersman in Canton - Retina Specialist
Mark Andrew Gersman - NPI 1205839552
Mark Andrew Gersman is a Retina Specialist in Canton, Ohio. Mark Andrew Gersman practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Mark Andrew Gersman is 1205839552. The last update date is 2021-05-24.
Mark Andrew Gersman's current location address is 4676 Douglas Cir Nw, Canton, Ohio. You can contact this provider via phone number 3304941116 and fax number 3304940276. The mailing address for Mark Andrew Gersman is 4676 Douglas Cir Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Andrew Gersman |
|---|---|
| Address | 4676 Douglas Cir Nw, Canton, Ohio |
| Phone Number | 3304941116 |
| Fax Number | 3304940276 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1205839552 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2021-05-24 |
Provider Mailing Address Detail
| Address | 4676 Douglas Cir Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 4471836190 |
| Phone Number | 3304941116 |
| Fax Number | 3304940276 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 35.060285 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4036611 | OH | MCR # OTHER TAX ID | |
| 96237000 | WV | -- | |
| 180041827 | OH | RRMCR # OTHER TAX ID | |
| 15118570004 | PA | -- | |
| 975753 | OH | -- |
Post Comment/ Review Below
What is the Mark Andrew Gersman's unique identification number?
The Mark Andrew Gersman has been assigned the NPI (National Provider Identifier) Number 1205839552 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Mark Andrew Gersman's facilities are situated?
The facilities of Mark Andrew Gersman are physically located at the following address: 4676 Douglas Cir Nw, Canton, OH, 4471836190.
What is Mark Andrew Gersman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Andrew Gersman's specialized field of practice is Retina Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 207Wx0107X.
On what date did the Mark Andrew Gersman receive the assignment of its 1205839552 from the Centers for Medicare & Medicaid Services?
The Mark Andrew Gersman was issued its 1205839552 by the Centers for Medicare & Medicaid Services on 2005-05-31.
When was the information regarding Mark Andrew Gersman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Andrew Gersman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-24.