MEDICARE: MICHAEL J MARKUS MD

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
1	207R00000X	Internal Medicine Physician	35051636	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00850224	OTHER	OH	MEDICARE RR

Other Identifiers

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

General Provider Information

NPI Number	:	1740246297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J MARKUS MD

Provider Business Mailing Address
First Line	:	3145 HAMILTON MASON RD STE 300
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-8556
Country	:	US
Telephone Number	:	513-936-2120
Fax Number	:	513-936-2121

Provider Business Practice Location Address
First Line	:	3145 HAMILTON MASON RD STE 300
Second Line	:
City	:	FAIRFIELD TOWNSHIP
State	:	OH
Zip	:	45011-8556
Country	:	US
Telephone Number	:	513-936-2120
Fax Number	:	513-936-2121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	02/14/2018

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