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

Individual provider Physician Assistant · NPI 1669767588

Mr. Mark Sussman, PA-C is a Physician Assistant in Columbus, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2011
Specialties on file
2
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

6001 E Broad St
Columbus, OH 43213-1570
Phone: (614) 234-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 762 S Cleveland Massillon Rd, Fairlawn, OH 44333-3024 — (330) 665-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 50.004373RX (OH)

Record details

NPI number1669767588
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 20, 2011
Last updated in NPPESDecember 10, 2018

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