Individual provider Active NPI

Mark L Nosin, DPM

  • Podiatrist
  • University Heights, OH
National Provider Identifier
1669439105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2625 Issued in OH
Practice address
2245 Warrensville Center Road
Suite 104
University Heights, OH 44118
Phone
(216) 932-3668
Fax
(216) 901-9958
NPI assigned
Apr 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2625 OH Primary
Podiatrist 213E00000X 07000699 IN

Addresses

Primary practice location

2245 Warrensville Center Road
Suite 104
University Heights, OH 44118

Mailing address

2245 Warrensville Center Road
Suite 104
University Heights, OH 44118
Phone (216) 932-3668

Other identifiers 1

IdentifierTypeStateIssuer
0898257MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100719000011 OH Practitioner - Podiatry 5092847616 Reassigns benefits to 1 organization
Practice locations: South Euclid, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Traveling Foot DoctorsGroup PAC ID 2365745866, 4 clinicians

Practice addresses (Care Compare)

30692 Lorain Rd
North Olmsted, OH 44070-4713
Phone (440) 471-4970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue433
Removal or shaving of skin growth192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2625OHMDDentist
07000699INMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Traveling Foot Doctors CurrentSince Oct 1, 2022 Accepting new patients

Locations

30692 Lorain Rd
North Olmsted, OH 44070
Phone (440) 471-4970

30915 Lorain Rd
North Olmsted, OH 44070
Phone (440) 471-4970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669439105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 WARRENSVILLE CENTER ROAD",
            "address_2": "SUITE 104",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-932-3668",
            "fax_number": "216-901-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 WARRENSVILLE CENTER ROAD",
            "address_2": "SUITE 104",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44118",
            "telephone_number": "216-932-3668",
            "fax_number": "216-901-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSIN",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2625",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0898257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Heights, OH

Sources for this page

Verify at the official NPI Registry.