Active NPI
Mark J Walsh, M.D.
- Gastroenterology Physician
- Dayton, OH
National Provider Identifier
1346215613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35051048
- Practice address
- 75 Sylvania Dr
Dayton, OH 45440-3237 - Phone
- (937) 320-5050
- Fax
- (937) 320-5060
- NPI assigned
- Feb 21, 2006
- Last updated
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35051048 | OH | Primary |
Addresses
Primary practice location
75 Sylvania Dr
Dayton, OH 45440-3237
Mailing address
75 Sylvania Dr
Dayton, OH 45440-3237
Phone (937) 320-5050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0710781 | Other | OH | MEDICARE PTAN |
| 0856248 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestivecare, LLC | Current | Accepting new patients | |
| Digestivecare, Inc. | Gastroenterology | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Beavercreek, OH
- NPI 1306808001
-
dba DigestiveCare Endoscopy Unit
- Ambulatory Surgical Clinic/Center
- Beavercreek, OH
- NPI 1184687386
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1346215613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SYLVANIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403237",
"telephone_number": "937-320-5050",
"fax_number": "937-320-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SYLVANIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403237",
"telephone_number": "937-320-5050",
"fax_number": "937-320-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "MARK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35051048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0710781",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0856248",
"state": "OH"
}
],
"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 Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.