Mark J. Hudak
Family Doctor Family Doctor - Sports Medicine
1811 Schneider St Ne Mercy Health Center
Canton
, Ohio 44721-3349
Mark J. Hudak
Family Doctor Family Doctor - Sports Medicine
1811 Schneider St Ne Mercy Health Center
Canton
, Ohio 44721-3349
(330) 877-8498
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mark J. Hudak
- 10963 Wolf Avenue Ne
- Hartville, OH
- Zip : 44632
- Phone : (330) 877-8498
Second Address
- Mark J. Hudak
- 1811 Schneider St Ne Mercy Health Center
- Canton, OH
- Zip : 44721-3349
- Fax : (330) 494-6484
- Phone : (330) 588-4884
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 35-063048 | OH |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 35063048 | OH |
National Provider Identifier
| NPI | 1215005087 |
|---|---|
| Provider Name | Mark J. Hudak |
| First Address | Hartville, OH 44632 |
| Second Address | Canton, OH 44721-3349 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2006 |
| Last Update Date | 23/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2176925 | (05) | OH |
| G75995 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.