Provider Demographics
NPI:1821417056
Name:GELPI, MARK
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:GELPI
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 1:3301 MERCY HEALTH BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1117
Mailing Address - Country:US
Mailing Address - Phone:513-215-5930
Mailing Address - Fax:513-936-0600
Practice Address - Street 1:3301 MERCY HEALTH BLVD STE 500
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1117
Practice Address - Country:US
Practice Address - Phone:513-215-5930
Practice Address - Fax:513-936-0600
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35.139527207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program