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NPI Code Detail

MEDICARE: DR. STEPHEN MARKS JR. DO

MEDICARE: DR. STEPHEN MARKS JR. DO
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
1207P00000XEmergency Medicine PhysicianR6654KY
2390200000XStudent in an Organized Health Care Education/Training Program
3207P00000XEmergency Medicine Physician02008464AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679269518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN MARKS JR. DO
Provider Business Mailing Address
First Line : 1701 N SENATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1239
Country : US
Telephone Number : 317-962-8880
Fax Number :
Provider Business Practice Location Address
First Line : 1701 N SENATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1239
Country : US
Telephone Number : 317-962-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2023
Last Update Date : 06/25/2026

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Directions to “ DR. STEPHEN MARKS JR. DO” Practice Location

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