MARK J. HUDAK (NPI# 1215005087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215005087 |
| Entity Type | Individual |
| Full Name | MARK J. HUDAK |
| Credential | M.D. |
| Practice Address |
1811 Schneider St Ne Mercy Health Center Canton OH 44721-3349 |
| Mailing Address |
10963 Wolf Avenue Ne Hartville OH 44632 |
| Practice Telephone | 3305884884 |
| Practice Fax Number | 3304946484 |
| Mailing Telephone | 3308778498 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35-063048 | OH | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
35063048 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2176925 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942278296 | Mark Lawrence Hudak | Pediatrics | 655 W 8th St, Ufjp Neonatology Dept, Jacksonville, FL 32209-6511 | 2006-03-12 |
| Street Address |
1811 SCHNEIDER ST NE MERCY HEALTH CENTER |
| City | CANTON |
| State | OH |
| Zip Code | 44721-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353206 | Jeffrey W Glynn | Dentist | North Canton - Glynn Family Dental, 129 Easton St Ne, North Canton, OH 44721 | 2019-02-22 |
| 1346765807 | Arica Goffus | Registered Nurse | 7684 Lynx Ave Ne, Canton, OH 44721 | 2017-08-06 |
| 1124478060 | Jillian Foltz | Occupational Therapy Assistant | 7119 Rolling Ridge Road, Canton, OH 44721 | 2016-06-21 |
| 1427379288 | Whats Up Doc Inc | Non-emergency Medical Transport (VAN) | 6255 Middlebranch Rd. N.e, North Canton, OH 44721 | 2010-06-16 |
| 1558785113 | Axis Health Chiropractic Center, Inc. | Chiropractor | 6535 Market Ave N, Suite 201, North Canton, OH 44721 | 2014-02-18 |
| 1326189853 | Alan Kenneth Goldberg | Dentist | 129 Easton St Ne, N Canton, OH 44721 | 2007-02-09 |
| 1235371451 | Scenic View Transportation, Inc | Ambulance | 2258 Nimishillen Church Rd., Canton, OH 44721-1026 | 2009-04-02 |
| 1649663642 | Brenda Brumbaugh | Speech-Language Pathologist | 1951 Lovers Ln Ne, N Canton, OH 44721-1420 | 2015-03-15 |
| 1780871616 | Amber Lynn Smith | Art Therapist | 2414 Mount Pleasant St Ne, Canton, OH 44721-1454 | 2007-09-25 |
| 1366841736 | Rita Hissner | Licensed Practical Nurse | 3915 State St Ne, Canton, OH 44721-1527 | 2014-08-21 |
| Find all providers in zip 44721 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104123595 | Tom Violand, D.o. Medical Clinic | Family Medicine | 4088 Holiday St Nw, Canton, OH 44718-2513 | 2011-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417467119 | Natalie Marie Dragovich | Family Medicine | 9228 Shepard Rd, Macedonia, OH 44056-1454 | 2017-10-07 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| 1295152296 | Benjamin Ross Ahrens | Family Medicine | 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 | 2014-03-27 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1669815445 | Anthony Peter Mckeen | Family Medicine | 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 | 2013-04-11 |
| 1053661322 | Greene Memorial Hospital Services, Inc. | Family Medicine | 6645 Morris Rd, Hamilton, OH 45011-5417 | 2012-09-14 |
| 1700142734 | Jeffrey Aaron James | Family Medicine | 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 | 2012-04-04 |
| 1568751790 | Raul A Raudales Jr. | Family Medicine | State Rte 159, Ste G15, Chillicothe, OH 45601 | 2011-03-28 |
| 1255639381 | Ohiohealth Corporation | Family Medicine | 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 | 2011-03-15 |
| 1811295900 | Ohiohealth Corporation | Family Medicine | 94 N High St Ste 200, Dublin, OH 43017-1194 | 2011-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.