Smith, Mark Cody

Smith, Mark Cody is an individual health care provider with primary practice located at 1 Medical Center Dr. , Morgantown WV 26506. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Smith, Mark Cody can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Medical Center Dr. Morgantown WV 26506
Phone: (304) 598-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 24777 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24777 West Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992025084
LBN Legal business name Smith, Mark Cody
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Sep 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992025084 NPPES
West Virginia MEDICAID 1528032323
West Virginia Other WV6539A

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