Mark Sniadanko
Emergency Physician
2600 Navarre Ave
Oregon
, Ohio 43616-3207
Mark Sniadanko
Emergency Physician
2600 Navarre Ave
Oregon
, Ohio 43616-3207
(937) 619-3014
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Mark Sniadanko
- 4750 Hempstead Station Dr
- Kettering, OH
- Zip : 45429-5164
- Fax : (937) 619-3014
- Phone : (800) 875-0136
Second Address
- Mark Sniadanko
- 2600 Navarre Ave
- Oregon, OH
- Zip : 43616-3207
- Phone : (419) 696-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 34-008693 | OH |
National Provider Identifier
| NPI | 1003011834 |
|---|---|
| Provider Name | Mark Sniadanko |
| First Address | Kettering, OH 45429-5164 |
| Second Address | Oregon, OH 43616-3207 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2007 |
| Last Update Date | 16/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000522688 | BCBS ST CHARLES (01) | OH |
| 2782743 | (05) | OH |
| P00435623 | RRN MCR ST CHARLES (01) | 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.