Organization Active NPI

Mark Byrge DO LLC

  • Vascular Surgery Physician
  • Barberton, OH
National Provider Identifier
1689711459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34006236B Issued in OH
Legal business name
MARK BYRGE DO LLC
Practice address
201 5TH St NE
Suite 8
Barberton, OH 44203-3017
Phone
(330) 475-1616
Fax
(330) 475-1617
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark W Byrge, D.O.NPI 1053307389
Title
President
Phone
(330) 475-1616

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 34006236B OH Primary

Addresses

Primary practice location

201 5TH St NE
Suite 8
Barberton, OH 44203-3017

Mailing address

201 5TH St NE
Suite 8
Barberton, OH 44203-3017
Phone (330) 475-1616

Other identifiers 1

IdentifierTypeStateIssuer
2225238MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689711459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "SUITE 8",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-475-1616",
            "fax_number": "330-475-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE",
            "address_2": "SUITE 8",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-475-1616",
            "fax_number": "330-475-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BYRGE DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRGE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-475-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34006236B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225238",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.