MARK TERRANCE METZDORFF MD
NPI 1992797237
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Elmira, NY

Active since August 22, 2005
600 IVY ST, ELMIRA, NY 14905(607) 737-7780(607) 737-7788 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Terrance Metzdorff Md NPPES

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

MARK TERRANCE METZDORFF MD (NPI 1992797237) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Elmira, New York, licensed in New York (271766) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1992797237
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARK TERRANCE METZDORFFCredential: MD
Location Address600 IVY STElmira, NY 14905-1627
Mailing Address722 W Water StElmira, NY 14905-2435 · (607) 271-2093 · Fax (607) 271-2099
Fax(607) 737-7788
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateNovember 15, 2013
NPI 1992797237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in NY · 271766 Licensed in OR · MD13216 Licensed in WA · MD00029270
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
600 IVY ST, Elmira, NY 14905

Other Identifiers 6

Medicare ID-Type Unspecified115782OR · Salem
Medicare ID-Type Unspecified115792OR · Portland
Medicare ID-Type UnspecifiedAB38089WA · Vancouver
Medicaid210476OR
Medicaid8303331WA
Medicare UPIND94339OR

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Obstetrics & Gynecology)
600 IVY ST
ELMIRA, NY 14905
Emergency Medicine
600 IVY ST
ELMIRA, NY 14905
Physician Assistant
600 IVY ST, SUITE 201
ELMIRA, NY 14905
Preventive Medicine (Public Health & General Preventive Medicine)
600 IVY ST, SUITE 106
ELMIRA, NY 14905
Pharmacist
600 IVY ST
ELMIRA, NY 14905
Internal Medicine (Interventional Cardiology)
600 IVY ST
ELMIRA, NY 14905
Internal Medicine
600 IVY ST
ELMIRA, NY 14905
Obstetrics & Gynecology
600 IVY ST
ELMIRA, NY 14905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Metzdorff's NPI number?

The NPI number for Mark Metzdorff is 1992797237. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Mark Metzdorff located?

Mark Metzdorff practices at 600 Ivy St, Elmira, NY 14905. The listed phone number is (607) 737-7780.

What is Mark Metzdorff's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Mark Metzdorff was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.