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NPI Code Detail

MEDICARE: DR. MARK S OKONSKI MD

MEDICARE: DR. MARK S OKONSKI 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
1207RG0100XGastroenterology PhysicianMD488012PA
2207RG0100XGastroenterology Physician71344TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00232929OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112412OTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952393209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK S OKONSKI MD
Provider Business Mailing Address
First Line : 13440 BLUE BAY CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8761
Country : US
Telephone Number : 239-209-0664
Fax Number :
Provider Business Practice Location Address
First Line : 132 ABIGAIL LN
Second Line :
City : PORT MATILDA
State : PA
Zip : 16870-7153
Country : US
Telephone Number : 814-272-5011
Fax Number : 814-272-6531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 11/03/2025

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