Individual provider Active NPI

Mark T Isaac, DO

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1083804199
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34.007521 Issued in OH
Practice address
111 S Grant Ave FL 3
Columbus, OH 43215
Phone
(614) 566-8808
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34.007521 OH Primary

Addresses

Primary practice location

111 S Grant Ave FL 3
Columbus, OH 43215

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice location 1

1459 Lexington Ontario Rd
Mansfield, OH 44903-8631
Phone (419) 884-2633

Other practice location 2

1459 Lexington Ontario Rd
Mansfield, OH 44903-8631
Phone (419) 884-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20070822001211 OH Practitioner - Anesthesiology 1254423270 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.007521OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 1, 2017 Accepting new patients
Ohiohealth Corporation Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Anesthesia Associates of Mansfield, Inc Anesthesiology CurrentSince Jul 24, 2007 Accepting new patients
Ohiohealth Corporation CurrentSince Apr 1, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Jan 1, 2017 Accepting new patients
Laser Spine Institute, LLC Past Accepting new patients

Locations

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

Dept L3652
Columbus, OH 43260

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

799 Lexington Ave
Mansfield, OH 44907
Phone (419) 526-8000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2865 N Reynolds Rd
Ste 190
Toledo, OH 43615
Phone (419) 578-7500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083804199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE FL 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-566-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1459 Lexington Ontario Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449038631",
            "country_code": "US",
            "telephone_number": "419-884-2633",
            "fax_number": "419-884-2633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1459 Lexington Ontario Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449038631",
            "country_code": "US",
            "telephone_number": "419-884-2633",
            "fax_number": "419-884-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34.007521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.