Individual provider Active NPI

Nicholas Frank Marko, MD

  • Neurological Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1114199791
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101267159 Issued in VA
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 475-8990
Fax
(513) 475-7243
NPI assigned
Mar 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X AC2895437-T57 OH
Neurological Surgery Physician 207T00000X MD448438 PA
Neurological Surgery Physician 207T00000X 35.093725 OH
Neurological Surgery Physician 207T00000X 0101267159 VA Primary

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

2000 Health Park Dr FL HP2
Brentwood, TN 37027-4692
Phone (615) 373-7600

Other practice location 1

1940 Braeburn Cir
Salem, VA 24153-7388
Phone (540) 444-1240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NICHOLAS.MARKO@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130905000429 PA Practitioner - Neurosurgery 3476718669 Reassigns benefits to 1 organization
I20191218001330 VA Practitioner - Neurosurgery 3476718669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3400

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Lewisgale Hospital Alleghany Hospital, Low Moor, VA, CCN 490126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion40
Laminectomy or laminotomy (partial removal of spine bones)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC2895437-T57OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Jul 1, 2013 Accepting new patients
Lewis Gale Physicians LLC CurrentSince Sep 21, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2013 Accepting new patients
Geisinger Clinic Current Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2000 Health Park Dr
Fl HP2
Brentwood, TN 37027

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1942 Braeburn Cir
Salem, VA 24153
Phone (540) 444-1240

1930 Braeburn Cir
Salem, VA 24153
Phone (540) 772-3707

Interoperability endpoints

  • Direct secure messaging: nicholas.marko@hca6.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1114199791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-475-8990",
            "fax_number": "513-475-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Braeburn Cir",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537388",
            "country_code": "US",
            "telephone_number": "540-444-1240",
            "fax_number": "540-444-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKO",
        "first_name": "NICHOLAS",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-24",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "AC2895437-T57",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD448438",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.093725",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101267159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICHOLAS.MARKO@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1940 Braeburn Cir",
            "city": "Salem",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241537388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.