Provider Demographics
NPI:1710986609
Name:BARATZ, MARK
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:BARATZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9104 BABCOCK BLVD SUITE 5113
Mailing Address - Street 2:ORTHOPAEDIC SPECIALISTS - UPMC
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9104 BABCOCK BLVD STE 5113
Practice Address - Street 2:ORTHOPAEDIC SPECIALISTS - UPMC
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5866
Practice Address - Country:US
Practice Address - Phone:412-748-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034230E207XS0106X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010283380006Medicaid
PA0010283380009Medicaid
OH2235674Medicaid
WV2000791000Medicaid
PA0010283380010Medicaid
PA0010283380009Medicaid
PAC34577Medicare UPIN
PA480408NH3Medicare PIN