Individual provider Active NPI

Jeffrey Alan Marks, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mechanicsburg, PA
National Provider Identifier
1467454033
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003128L Issued in PA
Practice address
161 Old Schoolhouse LN
Suite 2
Mechanicsburg, PA 17055-5684
Phone
(717) 697-7602
Fax
(717) 796-0921
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC003128L PA Primary

Addresses

Primary practice location

161 Old Schoolhouse LN
Suite 2
Mechanicsburg, PA 17055-5684

Mailing address

161 Old Schoolhouse LN
Suite 2
Mechanicsburg, PA 17055-5684
Phone (717) 697-7602

Other identifiers 15

IdentifierTypeStateIssuer
421607OtherAETNA US HEALTHCARE
814698OtherPAUS HEALTHCARE
12495910001OtherCIGNA
852306OtherUS HEALTHCARE CPPO
03066100OtherCAPITAL BLUE CROSS GROUP
1288963OtherMEDICAID ACCESS
678599OtherFEDEARL BLUE SHIELD FEP
7990483OtherPAGATEWAY
814698OtherUS HEALTHCARE
480012700OtherMETRAHEALTH RAILROAD
678599OtherHIGHMARK
678599 990483OtherKEYSTONE AND SR BLUE
01122901OtherCAPITAL BLUE CROSS INDIVI
1288963MedicaidPA
480012700OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000318 PA Practitioner - Podiatry 0345421376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

161 Old Schoolhouse LN
Suite 2
Mechanicsburg, PA 17055-5680
Phone (717) 697-7602

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue41
Removal of skin lesions1-10
Removal of nail tissue257
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Marks, DPM PC Foot & Ankle Surgery CurrentSince Dec 13, 2016 Accepting new patients

Locations

161 Old Schoolhouse Ln
Mechanicsburg, PA 17055
Phone (717) 691-8128

161 Old Schoolhouse Ln
Ste 2
Mechanicsburg, PA 17055
Phone (717) 697-7602

Interoperability endpoints

  • Direct secure messaging: drmarks@jeffreyamarks.medentdirect.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1467454033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 OLD SCHOOLHOUSE LN",
            "address_2": "SUITE 2",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555684",
            "telephone_number": "717-697-7602",
            "fax_number": "717-796-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 OLD SCHOOLHOUSE LN",
            "address_2": "SUITE 2",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555684",
            "telephone_number": "717-697-7602",
            "fax_number": "717-796-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003128L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "421607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "814698",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "12495910001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE CPPO",
            "identifier": "852306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "03066100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ACCESS",
            "identifier": "1288963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDEARL BLUE SHIELD FEP",
            "identifier": "678599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "7990483",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "814698",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH RAILROAD",
            "identifier": "480012700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "678599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE AND SR BLUE",
            "identifier": "678599 990483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS INDIVI",
            "identifier": "01122901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1288963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480012700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.