Provider Demographics
NPI:1689669947
Name:BUNKER, MARK LINCOLN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:LINCOLN
Last Name:BUNKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 FRIENDSHIP AVE
Mailing Address - Street 2:ALLEGHENY PATHOLOGY ASSOCIATES
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1722
Mailing Address - Country:US
Mailing Address - Phone:412-578-7120
Mailing Address - Fax:412-578-4526
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:ALLEGHENY PATHOLOGY ASSOCIATES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-7120
Practice Address - Fax:412-578-4526
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD040088L207ZB0001X, 207ZP0102X, 207ZI0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZI0100XAllopathic & Osteopathic PhysiciansPathologyImmunopathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0202215000Medicaid
PA0014236100005Medicaid
OH2466399Medicaid
WV0202215000Medicaid
OH2466399Medicaid
PA220029522Medicare PIN