Provider Demographics
NPI:1528207370
Name:MARKAKIS, GEORGE ARISTOTLE (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ARISTOTLE
Last Name:MARKAKIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12000 MCCRACKEN RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2964
Mailing Address - Country:US
Mailing Address - Phone:216-581-6111
Mailing Address - Fax:216-581-6168
Practice Address - Street 1:12000 MCCRACKEN RD
Practice Address - Street 2:SUITE 215
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2964
Practice Address - Country:US
Practice Address - Phone:216-581-6111
Practice Address - Fax:216-581-6168
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-097311207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0053667Medicaid
000000727612OtherANTHEM BLUE CROSS AND BLUE SHIELD PIN
000000727612OtherANTHEM BLUE CROSS AND BLUE SHIELD PIN
OH0053667Medicaid