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DR. MARK ANDREW GERSMAN M.D. NPI 1205839552


NPI Information

NPI: 1205839552
Provider Name: DR. MARK ANDREW GERSMAN, M.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
4676 DOUGLAS CIR NW
CANTON, OH
ZIP 44718
Phone: (330) 494-1116
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DR. Mark Andrew Gersman, M.D. is a retina specialist ophthalmology in Canton, OH with 35 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Mark Andrew Gersman, M.D. NPI is 1205839552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

4676 DOUGLAS CIR NW
CANTON, OH
ZIP 44718-619
Phone: (330) 494-1116
Fax: (330) 494-0276

The NPI 1205839552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic imaging of retina (HCPCS:92134)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 5/31/2005 and was last updated on 5/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0107XOphthalmologyRetina Specialist35.060285OHIOYes
2207W00000XOphthalmology35060285OHIONo
3207W00000XOphthalmology18631WEST VIRGINIANo
4207W00000XOphthalmologyMD057570LPENNSYLVANIANo
5207WX0107XOphthalmologyRetina SpecialistMD057570LPENNSYLVANIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10015118570004MEDICAIDPENNSYLVANIA
2180041827OTHEROHIORRMCR # OTHER TAX ID
30975753MEDICAIDOHIO
40096237000MEDICAIDWEST VIRGINIA
54036611OTHEROHIOMCR # OTHER TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.