Provider Demographics
NPI:1407820640
Name:MARKES, ANN K (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:K
Last Name:MARKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CENTER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3063
Mailing Address - Country:US
Mailing Address - Phone:413-587-4223
Mailing Address - Fax:413-587-0416
Practice Address - Street 1:43 CENTER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3063
Practice Address - Country:US
Practice Address - Phone:413-587-4223
Practice Address - Fax:413-587-0416
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54512207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000029485OtherBMC HEALTH NET
AA24090.OtherHARVARD
MA799159OtherCONNECTICARE
MAJ07944OtherBCBSMA
MA054512OtherTUFTS
MA31004460Medicaid
MAJ07944OtherBCBSMA
MA31004460Medicaid