Mark Brian Szymanski, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

MD-060004-L Issued in PA

Practice address

405 S State St
Clarks Summit, PA 18411-1542

Phone

(570) 586-4400

Fax

(570) 587-5531

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Dermatopathology Institute

  • Clinical Medical Laboratory
  • Clarks Summit, PA
  • NPI 1477526655
  NPD (past) Authorized official
• Keystone Medical Laboratories, L.P.

  • Clinical Medical Laboratory
  • Dunmore, PA
  • NPI 1619128592
  NPD (past)
• Pathology Associates of NE PA LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dunmore, PA
  • NPI 1528022142
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1073585154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111542",
            "telephone_number": "570-586-4400",
            "fax_number": "570-587-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111542",
            "telephone_number": "570-586-4400",
            "fax_number": "570-587-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMANSKI",
        "first_name": "MARK",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD-060004-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073762400003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Family Care P.C.
• Summit Psychiatric Services, LLC
• Mary Beth C Sunick, PH.D.
• Nicholas Alan Superko, PHARMD
• Christie Sworen, PSY.D.
• Joanne L Tanner, CRNP
• Tara M Watkins, Ma, LPC, LLC
• Ann Marie Termini, ED.S., M.S., LPC
• The Center for Child Psychology
• Joanne Marie Thorne, D.M.D.

• Dermatopathology (Pathology) Physician in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Dermatopathology (Pathology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.