Provider Demographics
NPI:1154389047
Name:MARC S SAUNDERS D.O.
Entity type:Organization
Organization Name:MARC S SAUNDERS D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-856-4077
Mailing Address - Street 1:3915 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-4710
Mailing Address - Country:US
Mailing Address - Phone:330-856-4077
Mailing Address - Fax:330-856-4677
Practice Address - Street 1:3915 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-4710
Practice Address - Country:US
Practice Address - Phone:330-856-4077
Practice Address - Fax:330-856-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005874208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0967333Medicaid
OHSA0758931Medicare PIN
OH0967333Medicaid