MR. MARK SUSSMAN (PA-C) – Physician Assistant, NPI 1669767588

Physician Assistant

MR. MARK SUSSMAN (PA-C) is a healthcare provider. based in Fairlawn, Ohio. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 50.004373RX (OH). The NPI Number for MR. MARK SUSSMAN (PA-C) is 1669767588

Main info

Male

Sole Proprietor

15 Years Of Experience

Accepts Medicare Assignment

Name

MR. MARK SUSSMAN (PA-C)

NPI

1669767588

Phone

(330) 665-4100

Address

762 S Cleveland Massillon Rd

Enumeration Date

20 June 2011

Last Update Date

10 December 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2406862300

Graduation Year

2011 (15 years ago)

PAC ID

5294050886

Group Practice PAC ID

6406753045

Professional Enrollment ID

I20151203003152

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MR. MARK SUSSMAN (PA-C)

762 S Cleveland Massillon Rd
Fairlawn, OH 443333024
Phone: (330) 665-4100
Fax: (330) 665-6750
Type: Location
6001 E BROAD ST
COLUMBUS, OH 432131570
Phone: (614) 234-6000
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44333)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6406753045View full group profile

Name	Specialty	State
MUSTAFA ATAR (MD)	-	MO
JOSEPH MICHAELS (M.D.)	-	OH
ALLISON STOVER	Nurse Practitioner	KY
MRS. GEMMA LEANNE DISMUKE (NP)	-	OH
MRS. BRITTANY LYNN COSTARAS (NP)	-	MD
MS. DENISE L BENJAMIN (ATC, PA-C)	-	OH
MICHELE MANNING (CNP)	-	OH
ANNA AYOUB (M.D.)	-	OH
SALLY J MURRISH (CNP)	-	OH
DR. MICHAEL THOMAS SELLECHIO (M.D.)	Family Practice	OH