Organization Active NPI

William W. Mark, Jr., M.D., P.a.

  • Specialist
  • Cumberland, MD
National Provider Identifier
1700065315
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D31221 Issued in MD
Legal business name
WILLIAM W. MARK, JR., M.D., P.A.
Practice address
224 Washington St
Cumberland, MD 21502-2827
Phone
(301) 777-8383
Fax
(301) 777-2780
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. William Wesley Mark Jr., M.D.
Title
President
Phone
(301) 777-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D31221 MD Primary

Addresses

Primary practice location

224 Washington St
Cumberland, MD 21502-2827

Mailing address

224 Washington St
Cumberland, MD 21502-2827
Phone (301) 777-8383

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1700065315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WASHINGTON ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022827",
            "telephone_number": "301-777-8383",
            "fax_number": "301-777-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WASHINGTON ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022827",
            "telephone_number": "301-777-8383",
            "fax_number": "301-777-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W. MARK, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-777-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D31221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.