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Mark R Homicz

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)

1701 4th St Ste 120
Santa Rosa , California 95404-3661

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Mark R Homicz

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)

1701 4th St Ste 120
Santa Rosa , California 95404-3661

(707) 523-3024

Write a Review Save Call

Mark R Homicz

Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)

1701 4th St Ste 120
Santa Rosa , California 95404-3661

(707) 523-3024 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Plastic Surgeon (Head & Neck)

Languages spoken

  • English

Location

1701 4th St Ste 120 Santa Rosa , California 95404-3661

First Address

  • Mark R Homicz
  • 3536 Mendocino Ave Ste 200
  • Santa Rosa, CA
  • Zip : 95403-3634
  • Fax : (707) 523-3024
  • Phone : (707) 575-6049

Second Address

  • Mark R Homicz
  • 1701 4th St Ste 120
  • Santa Rosa, CA
  • Zip : 95404-3661
  • Fax : (707) 523-3024
  • Phone : (707) 523-7025

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FAQs


Where did Mark R Homicz attend graduate school?

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Where did Mark R Homicz do his residency?

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Where did Mark R Homicz do his fellowship?

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Is Mark R Homicz board certified?

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What type of doctor is Mark R Homicz

Otolaryngologist (ENT Doctor)

In what state does Mark R Homicz practice in?

California

Where is Mark R Homicz ’s practice located?

1701 4th St Ste 120 , Santa Rosa, California, 95404-3661

What is Mark R Homicz ’s gender?

Male

Is Mark R Homicz a sole practitioner?

No

Is Mark R Homicz accepting new patients?

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What languages does Mark R Homicz speak?

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Does Mark R Homicz accept insurance?

Yes, Mark R Homicz accepts insurance

Does Mark R Homicz offers telemedicine?

Mark R Homicz has not indicated if he offers telemedicine

What is Mark R Homicz ’s professional license number?

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What is Mark R Homicz ’s NPI number?

1336198449

Does Mark R Homicz have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Y00000X Otolaryngologist (ENT Doctor) A70413 CA
N 207YX0007X Plastic Surgeon (Head & Neck) A70413 CA

National Provider Identifier

NPI 1336198449
Provider Name Mark R Homicz
First Address Santa Rosa, CA 95403-3634
Second Address Santa Rosa, CA 95404-3661
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/05/2006
Last Update Date 07/02/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00A704130 BLUE SHIELD OF CALIFORNIA (01) CA
I14720 (02)
P00933198 RAILROAD MEDICARE (01) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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