Mark II ENT., LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

11067 Issued in OH

Legal business name

MARK II ENT., LTD

Practice address

4867 Urbana Rd
Springfield, OH 45502-9503

Phone

(937) 323-5764

Fax

(937) 323-2699

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Smith

Title

Managing Member

Phone

(937) 323-5764

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Med-Ox Home Medical Doing business as

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1710089982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029503",
            "telephone_number": "937-323-5764",
            "fax_number": "937-323-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029503",
            "telephone_number": "937-323-5764",
            "fax_number": "937-323-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK II ENT., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "937-323-5764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "11067",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Ox Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antipas Polycarp Marati
• Daniel Marck, CRNA
• Vlada W Mardovin, M.D.
• Gianna Rae Margiotta, DSP, HHA
• Marguerite Center for Women'S Health LLC
• Leslye Markey
• Melany Markland, LSW
• Camden Rylee Marotta, PTA
• Sharon Marra
• Elizabeth M Marsh, MD

• Durable Medical Equipment & Medical Supplies in Springfield, OH
• Providers in Springfield, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.