Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark William Bohn, MD

Individual provider Family Medicine Physician · NPI 1255668125

Dr. Mark William Bohn, MD is a Family Practice in Scranton, Pennsylvania. Graduated from Hahnemann University College of Medicine in 1980, 46 years ago. Practices with Cleanslate Medical Group of Pennsylvania LLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
46
Trained at
Hahnemann University College of Medicine
Licensed in
PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1020 W Lackawanna Ave
Scranton, PA 18504-2052
Phone: (570) 904-6000
Fax: (570) 871-4638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence MD025868E (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD025868E (PA)

Record details

NPI number1255668125
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address1020 W Lackawanna Ave, Scranton, PA 18504-2052

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Cleanslate Medical Group Of Pennsylvania Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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