NPIMap

Individual provider Active NPI

Mark E McCloskey, C.C.P.

  • Perfusionist
  • Dayton, OH
National Provider Identifier
1336374859
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Practice address
2200 Philadelphia Dr
Suite 555
Dayton, OH 45406-1840
Phone
(937) 275-5100
Fax
(937) 275-4587
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X Primary

Addresses

Primary practice location

2200 Philadelphia Dr
Suite 555
Dayton, OH 45406-1840

Mailing address

2200 Philadelphia Dr
Suite 555
Dayton, OH 45406-1840
Phone (937) 275-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiothoracic and Vascular Surgeons Inc Past Accepting new patients

Organizations & group practices 1

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1336374859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 555",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-275-5100",
            "fax_number": "937-275-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHILADELPHIA DR",
            "address_2": "SUITE 555",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061840",
            "telephone_number": "937-275-5100",
            "fax_number": "937-275-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "C.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.