Provider Demographics
NPI:1801870258
Name:SCHRANK, MARK L (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:L
Last Name:SCHRANK
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 1:5 NEPONSET ST FL STREET12
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-595-2300
Mailing Address - Fax:508-853-5226
Practice Address - Street 1:5 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2714
Practice Address - Country:US
Practice Address - Phone:508-595-2300
Practice Address - Fax:508-853-5226
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherHEALTHCARE VALUE MNGMENT
27015OtherCHILDRENS MED SECURITY PL
AA1247OtherHARVARD PILGRIM HEALTHCAR
J04376OtherBLUE SHIELD HMO BLUE
110170358OtherRAILROAD MEDICARE
6389589OtherCIGNA HEALTH PLAN
0401699OtherEVERCARE
3099911OtherMEDICAID/WELFARE
9900099OtherFALLON COMMUNITY HLTH PL
042472266OtherPRIVATE HEALTHCARE SYSTEM
J04376OtherBLUE CARE ELECT
7017326OtherAETNA/US HEALTHCARE
J04376OtherBLUE SHIELD INDEMNITY
27015OtherHEALTHY START
784187OtherMVP HEALTH CARE
925677OtherFIRST HEALTH
J04376OtherMEDICARE B
042472266OtherONE HEALTH PLAN
J04376OtherBLUE CARE ELECT
J04376OtherBLUE SHIELD INDEMNITY