Provider Demographics
NPI:1417952854
Name:GUY, MARK WARD (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:WARD
Last Name:GUY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1307 FEDERAL ST STE 301
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4769
Mailing Address - Country:US
Mailing Address - Phone:412-359-3751
Mailing Address - Fax:412-442-2335
Practice Address - Street 1:1307 FEDERAL ST STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4769
Practice Address - Country:US
Practice Address - Phone:412-359-3751
Practice Address - Fax:412-442-2335
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD050613L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014633390010Medicaid
PAF76379Medicare UPIN
PA0014633390010Medicaid