Individual
MARC A. SUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE, STE 509, CHARLESTON, WV 25304-1226
(304) 342-0821
(304) 345-6679
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 886-9403
(740) 446-5153
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12349
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185211
UNISON MEDICAID
OH
01
—
000000347087
ANTHEM BCBS
—
01
—
001714179
MOUNTAIN STATE BCBS
—
05
—
0083470000
—
WV
01
—
0469238
MOLINA MEDICAID
OH
01
—
310917085157
CARESOURCE MEDICAID
OH
01
—
P00150213
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
11/19/2021
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