Individual ProviderMark S NorinAudiologistSpeech, Language and Hearing Service ProvidersPractice Address2640 W Market St, Suite 303, Fairlawn, OH 44333-4202(330) 253-2221(330) 836-6815PECOS EnrollmentBased on the most recent information from CMS, provider Mark S Norin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699893677Provider TypeIndividualFull NameNorin, Mark STitleMr.CredentialMA FAAAGenderMaleSole ProprietorNoEnumeration Date3/27/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2640 W Market St, Suite 303, Fairlawn, OH 44333-4202Phone(330) 253-2221Fax(330) 867-1748Mailing LocationMailing Address47 Waldorf Dr, Akron, OH 44313Phone(330) 836-6815Fax(330) 867-1748Provider TaxonomiesCodeDescriptionLicenseCode231H00000XPrimaryDescriptionAudiologistSpeech, Language and Hearing Service ProvidersLicenseA01160OhioProvider IdentifiersIDDescriptionIssuerID0097603DescriptionMedicaidIssuerUnlistedOhioID000000259500DescriptionOtherIssuerANTHEM BCBS PLANSOhio