Organization Active NPI

Mark Akers MD Inc

  • Internal Medicine Physician
  • Tiffin, OH
National Provider Identifier
1447450978
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35077152 Issued in OH
Legal business name
MARK AKERS MD INC
Practice address
81 Ashwood Dr
Tiffin, OH 44883-1909
Phone
(419) 447-8444
Fax
(419) 447-8446
NPI assigned
Jul 23, 2007
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Mark J Akers, MDNPI 1174578645
Title
Physician
Phone
(419) 447-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35077152 OH Primary

Addresses

Primary practice location

81 Ashwood Dr
Tiffin, OH 44883-1909

Mailing address

81 Ashwood Dr
Tiffin, OH 44883-1909
Phone (419) 447-8444

Other identifiers 2

IdentifierTypeStateIssuer
2195879MedicaidOH
SP00691OtherOHPALMETTO GBA GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000288 OH Part B Supplier - Clinic/Group Practice 7012940752 Receives reassigned benefits from 3 practitioners
Practice locations: Tiffin, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0991113Mark Akers MD Inc81 Ashwood Drive, Tiffin, OH 44883Provider-performed microscopySep 11, 2027

National Provider Directory

National Provider Directory

Locations

81 Ashwood Dr
Ste A
Tiffin, OH 44883

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1447450978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831909",
            "telephone_number": "419-447-8444",
            "fax_number": "419-447-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831909",
            "telephone_number": "419-447-8444",
            "fax_number": "419-447-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK AKERS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-447-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195879",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP NUMBER",
            "identifier": "SP00691",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.