MARK A. DEMIDOVICH M.D. – NPI #1699859017
Psychiatry & Neurology
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.
MARK DEMIDOVICH is a psychiatry & neurologist located in GROVE CITY, PA. NPPES has assigned the NPI number 1699859017 to MARK DEMIDOVICH on October 24, 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 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry
The NPI profile was previously updated about 8 years ago on Sep 13, 2018. 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 DEMIDOVICH below.
NPI Profile for
MARK A. DEMIDOVICH
(more than 19 years ago)
GROVE CITY, PA 16127 Phone: (724) 421-3355 Fax: (724) 406-0240
1 Other location(s):
Suite 125B Coventry Square Office Center
Allison Park, PA 15101-2243
Phone: (412) 492-8585
Fax: (412) 492-7882
Identifiers for MARK DEMIDOVICH
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | HIGHMARK PROVIDER # | PA | 1879793 |
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 |
|---|---|---|
| 2084P0804X - Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary) |
PA | MD427222 |
| 2084P0800X - Psychiatry & Neurology / Psychiatry |
PA | MD427222 |
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.