Mark Anthony Naddaf

MD | Pediatric Gastroenterology | Male

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Complete Profile:

Mark Anthony Naddaf basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Gastroenterology
Provider Name :	Mark Anthony Naddaf
Credential :	MD
Gender :	Male

Business Address:

Mark Anthony Naddaf address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2222 Cherry St, Suite 1600 Toledo, OH, 43608-2673 United States
Phone Number :	419-251-4880
Fax Number :	419-251-7714

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1124142500
NPI Entity Type :	Individual
First Enrolment Date :	19 Mar, 2007
Last Updated On :	06 Sep, 2022

Medicare Participation:

Mark Anthony Naddaf participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8022179019
Medicare Enrollment ID :	I20110126000678
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2001
Accepts Medicare?	Yes. Mark Anthony Naddaf accepts medicare insurance.

Group Practice Association:

Mark Anthony Naddaf is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark Anthony Naddaf is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Northwest Pediatric Specialists, Llc	6709279276	19	2222 Cherry St Toledo, OH - 436082673 Ph: 4192514300	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Anthony Naddaf are as mentioned. Primary taxonomy code for Mark Anthony Naddaf, MD is 2080P0206X (Pediatrics, Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301083864	MI
2080P0206X	Pediatrics, Pediatric Gastroenterology	No	4301083864	MI
2080P0206X	Pediatrics, Pediatric Gastroenterology	Yes	89490	OH

Legacy Identifiers:

Other legacy medical identifiers of Mark Anthony Naddaf such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
2743697	MEDICAID	OH

Other Practice Locations:

Practice Address	City, State	Phone Number
2213 CHERRY ST, TOLEDO, OH, 43608-2603 United States	TOLEDO, OH	567-290-6543

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	700 Childrens Dr Columbus, OH, 43205-2664 United States
Phone Number :	614-722-2000

Business Location:

Patients can refer following map for directions to Mark Anthony Naddaf practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.