DR. MARK LIBERTIN M.D. NPI 1184608770

NPI Information

NPI: 1184608770
Provider Name: DR. MARK LIBERTIN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
6229 N APPLECROSS RD
HIGHLAND HEIGHTS, OH
ZIP 44143
Phone: (440) 646-1651
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DR. Mark Libertin, M.D. is an obstetrics gynecology in Highland Heights, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Mark Libertin, M.D. NPI is 1184608770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6229 N APPLECROSS RD
HIGHLAND HEIGHTS, OH
ZIP 44143-726
Phone: (440) 646-1651
Fax: (440) 646-1651

The enumeration date for this NPI number is 12/6/2005 and was last updated on 10/8/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		35055788L	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E49965	MEDICARE UPIN	OHIO
2	341865880001	OTHER	OHIO	MEDICAL MUTUAL
3	000000140712	OTHER	OHIO	ANTHEM
4	1879024002	OTHER	OHIO	CIGNA
5	2060479	MEDICAID	OHIO
6	0632622	MEDICARE PIN	OHIO
7	341865880028	OTHER	OHIO	CARESOURCE
8	50875	OTHER	OHIO	QUALCHOICE

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

NPI Synchronization or Removal

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