Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. MARK R. LIGHT
Active
Individual
DR. MARK R. LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000467618B
—
GA
01
—
005480
BCBS
GA
01
—
3026473
AETNA HMO
GA
01
—
412063128
TAX ID #
GA
01
—
4137290
AETNA PPO
GA
01
—
480034802
RAILROAD MEDICARE
GA
01
—
4830810001
DMERC
GA
01
—
REF000049272
PEACHCARE MEDICARE
GA
Enumeration date
06/30/2005
Last updated
09/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up