Individual
THOMAS EDWARD MARK
Active
Individual
THOMAS EDWARD MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-069968 M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125764
ANTHEM BCBS INDV NUMBER
OH
05
—
2182981
—
OH
01
—
340891295-00
WORKERS COMP GROUP NUMBER
OH
05
—
7091249
—
OH
01
—
727552
BUCKEYE COMMUNITY HLTH PL
OH
01
—
CN1092
RAILROAD MEDICARE GROUP #
OH
Enumeration date
04/19/2006
Last updated
07/13/2026
Update your record
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