Mark J. Hudak, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

35063048 Issued in OH

Practice address

1811 Schneider St NE
Mercy Health Center
Canton, OH 44721-3349

Phone

(330) 588-4884

Fax

(330) 494-6484

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Sports Medicine

Education

Medical College of Ohio, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Professional Care, LLCGroup PAC ID 7416857198, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Medicare reassignment NPD
• Robinson Health System, Inc.

  dba Robinson Memorial Hospital

  • Cardiovascular Disease Physician
  • Ravenna, OH
  • NPI 1083045504
  Medicare reassignment NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment NPD
• Cleveland Clinic Mercy Hospital

  dba Mercy OB GYN Services and Mercy Ambulatory Care Clinic Internal Medi

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1376559799
  NPD
• Robinson Health System Inc

  dba University Hospitals Portage Medical Center Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Ravenna, OH
  • NPI 1922597533
  NPD
• Robinson Health System, Inc

  • Surgery Physician
  • Ravenna, OH
  • NPI 1841618220
  NPD
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center Rehab Unit

  • Rehabilitation Hospital Unit
  • Canton, OH
  • NPI 1487605978
  NPD (past)

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

• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1215005087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10963 WOLF AVENUE NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "44632",
            "telephone_number": "330-877-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SCHNEIDER ST NE",
            "address_2": "MERCY HEALTH CENTER",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213349",
            "telephone_number": "330-588-4884",
            "fax_number": "330-494-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-063048",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35063048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul D Hrics, MD
• Ashley Claudette Hubbard
• Karien Nicole Hubbard, LICENSED OPTICIAN
• Tara Renee Hubert, PHARM. D.
• William Hubert, RPH
• Hudec Dental Center of Canton, Inc. (Hudec Dental)
• Charnae Hudson, LPN
• Terri Hudson
• Kristy Huff
• Stacie Jo Huff, CRNP, PMHS

• Sports Medicine (Family Medicine) Physician in Canton, OH
• Providers in Canton, OH by specialty
• Sports Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.