Individual
JEFFREY M MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-059937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221359
UNISON
OH
01
—
000000503717
ANTHEM
—
05
—
0972087
—
OH
01
—
363807
WELLCARE
OH
01
—
4273419
AETNA
—
01
—
733570
BUCKEYE
OH
01
—
P00245093
RAILROAD MEDICARE
OH
01
—
P00385125
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
12/02/2020
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