MEDICARE: MARK GELPI

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Y00000X	Otolaryngology Physician	35.139527	OH

General Provider Information

NPI Number	:	1821417056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK GELPI

Provider Business Mailing Address
First Line	:	3301 MERCY HEALTH BLVD STE 500
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1117
Country	:	US
Telephone Number	:	513-215-5930
Fax Number	:	513-936-0600

Provider Business Practice Location Address
First Line	:	3301 MERCY HEALTH BLVD STE 500
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1117
Country	:	US
Telephone Number	:	513-215-5930
Fax Number	:	513-936-0600

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

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	10/29/2020

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