Mark Peter Prosciak, M.D.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

57.014243 Issued in OH

Practice address

410 W 10TH Ave
N 714 Doan Hall
Columbus, OH 43210-1240

Phone

(614) 293-8229

Fax

(614) 293-4030

NPI assigned

Feb 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1710165451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 CLARINGTON CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142321",
            "telephone_number": "614-459-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "address_2": "N 714 DOAN HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8229",
            "fax_number": "614-293-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSCIAK",
        "first_name": "MARK",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "57.014243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prominent Medical Transportation Services
• Prompt Medical Transportation LLC
• Francesca Prophete
• Sarah Prosak, PMHNP
• Proscan Imaging Broad Street LLC
• Elizabeth Prosek, LISW
• Jason M Prosek, M.D.
• Jillian Susanne Prosek, RBT
• Prospect Home Health LLC
• Prosper Care Services, LLC

• Surgical Critical Care Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgical Critical Care Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.