Mark Edwin Studebaker, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-05-0148 Issued in OH

Practice address

4059 Kinross Lakes Pkwy
Richfield, OH 44286-9371

Phone

(330) 659-8348

Fax

(860) 262-7796

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1437343233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 WEEPING WILLOW DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364406",
            "telephone_number": "330-655-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 KINROSS LAKES PKWY",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869371",
            "telephone_number": "330-659-8348",
            "fax_number": "860-262-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDEBAKER",
        "first_name": "MARK",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-05-0148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Shupe
• Sizewise Rentals LLC
• Mary H Sopko, SLP
• Mariah Southard, DC
• Laura Stalder, LPTA
• Brianna Tersigni
• Tessmer & Associates Inc. (Beltone Audiology & Hearing Care)
• Tessmer and Associates, Inc. (Beltone Audiology and Hearing Care Centers)
• The Inn at Appleridge LLC MGT Co
• The Petrus Group, Inc.

• Internal Medicine Physician in Richfield, OH
• Providers in Richfield, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.