DR. MARK A DEMIDOVICH M.D. - NPI 1699859017 - Psychiatry & Neurology in Grove City, PA

Q: What is Mark Demidovich's NPI number?

The NPI number for Mark Demidovich is 1699859017. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Mark Demidovich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Mark Demidovich was last updated on September 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mark A Demidovich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK A DEMIDOVICH M.D. (NPI 1699859017) is an individual child & adolescent psychiatry provider in Grove City, Pennsylvania, licensed in Pennsylvania (MD427222) and active in the NPI registry since October 2006. He maintains a secondary practice location in Allison Park.

NPPES Registry Identity

NPI1699859017

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. MARK A DEMIDOVICHCredential: M.D.

Location Address233 GEORGE JUNIOR RDGrove City, PA 16127

Mailing Address233 George Junior RdGrove City, PA 16127-4417 · (724) 421-3355 · Fax (724) 406-0240

Phone(724) 421-3355

Fax(724) 406-0240

Sole ProprietorYes

Enumeration DateOctober 24, 2006

Last NPPES UpdateSeptember 13, 2018

✔ NPI 1699859017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in PA · MD427222

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD427222 (PA)

233 GEORGE JUNIOR RD, Grove City, PA 16127

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Secondary Practice Location 1

Location 14655 William Flynn Hwy, Suite 125B Coventry Square Office CenterAllison Park, PA 15101-2243 · Phone (412) 492-8585 · Fax (412) 492-7882

Other Identifiers 1

Other1879793PA · Highmark Provider #

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE JUNIOR REPUBLIC IN PA

Clinic/Center (Mental Health (Including Community Mental Health Center))