Provider Demographics
NPI:1275612848
Name:WOYSHVILLE, MARK JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:JOSEPH
Last Name:WOYSHVILLE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18660 BAGLEY RD
Mailing Address - Street 2:BUILDING II SUITE 205
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3483
Mailing Address - Country:US
Mailing Address - Phone:440-234-5700
Mailing Address - Fax:440-234-5710
Practice Address - Street 1:18660 BAGLEY RD
Practice Address - Street 2:BUILDING II SUITE 205
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130
Practice Address - Country:US
Practice Address - Phone:440-234-5700
Practice Address - Fax:440-234-5710
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2018-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.0630122084S0012X, 2084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0919617Medicaid
OH0919617Medicaid
OH0919617Medicaid