DR. MARK EDWARD FENZL D.O. NPI 1790993137

NPI Information

NPI: 1790993137
Provider Name: DR. MARK EDWARD FENZL, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
216 E LIMA ST
FOREST, OH
ZIP 45843
Phone: (419) 273-2553
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DR. Mark Edward Fenzl, D.O. is a general practice in Forest, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Mark Edward Fenzl, D.O. NPI is 1790993137. 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:

216 E LIMA ST
FOREST, OH
ZIP 45843-118
Phone: (419) 273-2553
Fax: (419) 273-3337

The enumeration date for this NPI number is 5/18/2007 and was last updated on 5/26/2009.

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	208D00000X	General Practice		34.008871	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	2902854	MEDICAID	OHIO
2	P00681969	OTHER	OHIO	RAILROAD CARE
3	4253511	MEDICARE PIN	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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