Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Hacker, PA-C

Individual provider Physician Assistant · NPI 1861591836

Mark Hacker, PA-C is a Physician Assistant in Newark, Ohio. Graduated from University of Nebraska College of Medicine in 2009, 17 years ago. Practices with Osu Emergency Medicine LLC, a 166-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
17
Trained at
University of Nebraska College of Medicine
Licensed in
CA, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1320 W Main St
Newark, OH 43055
Phone: (220) 564-4151
Fax: (220) 564-7153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1320 W Main St, Newark, OH 43055-1822 — (220) 564-7153
  • 1320 W Main St, Newark, OH 43055-1822 — (220) 564-7153

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.002469 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50002469RX (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 53306 (CA)

Record details

NPI number1861591836
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESMarch 24, 2023
Mailing address1320 West Main St, Newark, OH 43055

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Osu Emergency Medicine Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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