MARK R. HOMICZ M.D. – NPI #1336198449
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

MARK HOMICZ is an otolaryngologist located in SANTA ROSA, CA. NPPES has assigned the NPI number 1336198449 to MARK HOMICZ on May 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 14 years ago on Feb 07, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK HOMICZ below.

NPI Profile for
MARK R. HOMICZ

NPI Number
1336198449
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK R. HOMICZ
Credentials
M.D.
Primary location
1701 4TH ST STE 120
SANTA ROSA, CA 95404-3661
Phone: (707) 523-7025 Fax: (707) 523-3024
Mailing address
3536 MENDOCINO AVE
STE 200
SANTA ROSA, CA 95403-3634
Phone: (707) 575-6049 Fax: (707) 523-3024
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARK HOMICZ

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD OF CALIFORNIACA00A704130
OTHERRAILROAD MEDICARECAP00933198
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)		 CA A70413
207YX0007X
- Otolaryngology / Plastic Surgery within the Head & Neck		 CA A70413

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
YALE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1998
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK HOMICZ is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH UKIAH VALLEY
      275 HOSPITAL DRIVE
      UKIAH, CA 95482
    • CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP
      601 DUBOCE AVENUE
      SAN FRANCISCO, CA 94117
    • PETALUMA VALLEY HOSPITAL
      400 N MCDOWELL BLVD
      PETALUMA, CA 94954
    • PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL
      1165 MONTGOMERY DR
      SANTA ROSA, CA 95405
    • SUTTER SANTA ROSA REGIONAL HOSPITAL
      30 MARK WEST SPRINGS ROAD
      SANTA ROSA, CA 95403

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