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MARK R. LIGHT DPM, NPI 1427055805

Podiatrist in MARIETTA, GA

Last Updated on : Sep 13,2016

MARK R. LIGHT DPM, NPI 1427055805

About MARK R. LIGHT (NPI 1427055805)


MARK R. LIGHT is a Podiatrist provider in MARIETTA, United States. His medical specialization is Podiatrist with a focus in Foot & Ankle Surgery.

1427055805 is NPI number of MARK R. LIGHT.

MARK R. LIGHT's primary taxonomy code based on NPI Lookup is 213ES0103X with license number 00630. This taxonomy code refers to Podiatrist.

MARK R. LIGHT has more than 16 years of experience.

MARK R. LIGHT current practice location address is 4439 ROSWELL RD, MARIETTA, GA. MARK R. LIGHT can be reached out via phone at 770-977-8221 and via fax at 770-977-8222 .

You can also correspond with MARK R. LIGHT through mail at mailing address 4439 ROSWELL RD, MARIETTA, GA, United States. Mailing address contact number is 770-977-8221.

The enumeration date of MARK R. LIGHT is 30-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.

1427055805 NPI Information

Basic NPI information of MARK R. LIGHT (NPI 1427055805) is provided below.

Name MARK R. LIGHT
National Provider Id (NPI) 1427055805
Entity Type Individual
Gender M
Credential DPM
Practice Address 4439 ROSWELL RD,
MARIETTA, GA, United States
Practice Telephone 770-977-8221
Practice Fax Number 770-977-8222
Mailing Address 4439 ROSWELL RD ,
MARIETTA, GA, United States
Mailing Telephone 770-977-8221
Mailing Fax Number 770-977-8222
Enumeration Date 30-Jun-2005
Last Updated Date 13-Sep-2016

MARK R. LIGHT (NPI 1427055805) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 213ES0103X Podiatrist, Foot & Ankle Surgery 00630 GA

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
000467618B MEDICAID (05) GA
005480 Other (non-Medicare) (01) GA BCBS
3026473 Other (non-Medicare) (01) GA Aetna HMO
412063128 Other (non-Medicare) (01) GA Tax ID #
4137290 Other (non-Medicare) (01) GA Aetna PPO
480034802 Other (non-Medicare) (01) GA Railroad medicare
4830810001 Other (non-Medicare) (01) GA DMERC
48SCCLG MEDICARE PIN (08) GA
REF000049272 Other (non-Medicare) (01) GA Peachcare medicare
U18990 MEDICARE UPIN (02) GA

MARK R. LIGHT (NPI 1427055805) Office Location

Office location of MARK R. LIGHT is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1861513210 REHAB OF DULUTH Clinic/Center, Physical Therapy PO BOX 671902,
MARIETTA, CA, United States
03-Apr-2007
1407150790 PATRICE MARIE STOKES Counselor 1207 SANDALWOOD DR,
ATLANTA, GA, United States
01-Jan-2011
1033455670 JULIE R FORTENBERRY Marriage & Family Therapist 1640 POWERS FERRY RD SE, BUILDING 16, SUITE 100
MARIETTA, GA, United States
01-Jan-2013
1821155854 LORETTA HICKS Family Medicine 105 WING MILL RD,
ATLANTA, GA, United States
02-Jan-2007
1568529444 QUALITY ONCOLOGY, INC. Case Management 1850 PARKWAY PL SE FL 12, ATTN REIMBURSEMENT
MARIETTA, GA, United States
02-Jan-2007
1699832402 ALERE WELLOLOGY, INC. Case Management 1850 PARKWAY PL SE FL 12, ATTN REIMBURSEMENT
MARIETTA, GA, United States
02-Jan-2007
1477610095 MARY ANN B FLORESTAN Dietitian, Registered 4757 CANTON RD, NE, SUITE 110
MARIETTA, GA, United States
02-Jan-2007
1679630206 JEFFERY B BALLARD Dentist, General Practice 707 WHITLOCK AVENUE, SUITE C 25
MARIETTA, GA, United States
02-Jan-2007
1558428193 TAMARA NIX Pediatrics, Adolescent Medicine 2155 POST OAK TRITT RD, SUITE 100
MARIETTA, GA, United States
02-Jan-2007
1194900704 ALEXANDER GLUZMAN Internal Medicine 400 TOWER RD NE, SUITE 200
MARIETTA, GA, United States
02-Jan-2008
1992075410 CATHERINE MICHELLE SCHENCK Counselor, Mental Health 1640 POWERS FERRY RD, BUILDING 3 SUITE 200
MARIETTA, GA, United States
02-Jan-2012
1730577594 HAVALYN BRUNS Chiropractor 950 COBB PKWY S, STE. 190
MARIETTA, GA, United States
02-Jan-2015
1972010734 NAOMI ELAINE BUSLER Social Worker 1950 SPECTRUM CIR SE STE 145,
MARIETTA, GA, United States
02-Jan-2018
1497812937 RICHARD ALAN HULL Dentist 135 VANN ST,
MARIETTA, GA, United States
03-Jan-2007
1720145071 WENDY SUE PHILLIPS Chiropractor PO BOX 261,
RYDAL, GA, United States
03-Jan-2007
1093872202 MATRIA HEALTHCARE, INC. Clinical Medical Laboratory 1850 PARKWAY PL SE FL 12, ATTN REIMBURSEMENT
MARIETTA, GA, United States
03-Jan-2007
1356408587 ALERE HEALTH IMPROVEMENT COMPANY Durable Medical Equipment & Medical Supplies 1850 PARKWAY PL SE FL 12, ATTN REIMBURSEMENT
MARIETTA, GA, United States
03-Jan-2007
1114074358 WINNINGHABITS.COM LTD Durable Medical Equipment & Medical Supplies 1850 PARKWAY PL SE FL 12, ATTN REIMBURSEMENT
MARIETTA, GA, United States
03-Jan-2007
1629253117 TOBIAH DME NETWORK INCORPORATED Durable Medical Equipment & Medical Supplies, Customized Equipment 3541 MAIN STATION DR SW,
MARIETTA, GA, United States
03-Jan-2008
1609013036 MICHAEL MANGONON Surgery, Surgery of the Hand 3775 ROSWELL RD, SUITE 250
MARIETTA, GA, United States
07-Jan-2009

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1427055805?

1427055805 is the NPI number of MARK R. LIGHT.

What is the specialty for MARK R. LIGHT?

The Specialty of MARK R. LIGHT is Podiatrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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