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NPI Code Detail

MEDICARE: DR. MARK ANTHONY PANIGUTTI M.D.

MEDICARE:  DR. MARK ANTHONY PANIGUTTI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician35-067775OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558369330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ANTHONY PANIGUTTI M.D.
Provider Business Mailing Address
First Line : 7255 OLD OAK BLVD
Second Line : C405
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3329
Country : US
Telephone Number : 440-816-5380
Fax Number : 440-816-5398
Provider Business Practice Location Address
First Line : 7255 OLD OAK BLVD
Second Line : C405
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3329
Country : US
Telephone Number : 440-816-5380
Fax Number : 440-816-5398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 07/08/2007

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