Provider Demographics
NPI:1447450978
Name:MARK AKERS MD INC
Entity type:Organization
Organization Name:MARK AKERS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-447-8444
Mailing Address - Street 1:81 ASHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-1909
Mailing Address - Country:US
Mailing Address - Phone:419-447-8444
Mailing Address - Fax:419-447-8446
Practice Address - Street 1:81 ASHWOOD DR
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-1909
Practice Address - Country:US
Practice Address - Phone:419-447-8444
Practice Address - Fax:419-447-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35077152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSP00691OtherPALMETTO GBA GROUP NUMBER
OH2195879Medicaid
OHH18377Medicare UPIN
OH2195879Medicaid