Provider Demographics
NPI:1134343726
Name:MARKS, JAMES ARVID SR (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARVID
Last Name:MARKS
Suffix:SR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:108 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3623
Mailing Address - Country:US
Mailing Address - Phone:724-222-5635
Mailing Address - Fax:724-222-5638
Practice Address - Street 1:204 WELLNESS WAY
Practice Address - Street 2:BLDG. 1
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9697
Practice Address - Country:US
Practice Address - Phone:724-222-5635
Practice Address - Fax:724-222-5638
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2012-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC00165L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA87847OtherHIGHMARK BLUE SHIELD
PAMA87847OtherHIGHMARK BLUE SHIELD
PA087847V1XMedicare PIN