Mark N Kubina, MD
Individual provider Active NPI Emergency Medicine Physician · Dover, OH
NPI 1295825396 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1295825396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35.067370 (OH)
- Practice address
- 659 Boulevard St
Dover, OH 44622-2026 - Phone
- (330) 343-3311
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Northeastern Ohio University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Clinic
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Mercy Medical Center
- Union Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028000469 | OH | Practitioner - Emergency Medicine | 3779777347 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067370 | OH | MD | Personal Emergency Response Attendant |
| 35.067370 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Union Hospital Association | Current |
Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| RC Hastedt MD Inc | Current | Accepting new patients | |
| Community Pathologists Inc | Current | Accepting new patients | |
| The Union Hospital Association | Current |
Accepting new patients | |
| Signify Health, LLC | Current |
Accepting new patients | |
| The Cleveland Clinic Foundation | Current |
Accepting new patients |
Locations
224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400
224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.067370 | OH | Yes |
| Personal Emergency Response Attendant | 146D00000X | 35067370 | OH |
Addresses
Primary practice location
659 Boulevard St
Dover, OH 44622-2026
Mailing address
659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170532 | Medicaid | OH |
Other providers in Dover, OH
- Ashlee Kohler
- Robin D Kollman
- Ami Korosy
- Eugene R Koser
- Ivan Kryshtal
- Darrin J Kuczynski
- Lori Ann Kuehne
- Tifanie Ann Kukwa
- Kurt C Garren MD Inc
- Dale Lachance
All providers in Dover, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.