Mark S. Pack, MD, PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28407 Issued in KY

Legal business name

MARK S. PACK, MD, PSC

Practice address

1101 Saint Christopher Dr
Suite 320
Ashland, KY 41101-7087

Phone

(606) 833-9556

NPI assigned

May 29, 2007

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark S. Pack, MDNPI 1952395709

Title

Owner

Phone

(606) 833-9556

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S. Pack, MD

  • Surgery Physician
  • Florence, SC
  • NPI 1952395709
  NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1356542492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 320",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-833-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 320",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017087",
            "telephone_number": "606-833-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. PACK, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-833-9556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "28407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Manning, PA-C
• Andre Marangoni Asperti, M.D.
• Jenawik C Marcum, MD
• Shelby Nichole Marcum
• Mardini & Associates MD, PSC (Digestive Health and Nutrition Center of Ashland)
• Brittani R Markwell
• Socrates Maroudis, O.D.
• Marshall Mental Health, PLLC
• Patricia A Marshall, APRN
• Debra K. Martin, NP

• Surgery Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.