KEVIN M MARKHAM M.D. NPI 1003871559

Surgery in Petoskey, MI

About KEVIN MARKHAM

Kevin Markham is a provider in Petoskey, MI with more than 17 years of experience. The NPI number assigned to this provider is 1003871559. The practitioner's primary taxonomy code is Surgery (208600000X). The provider is registered as an individual and their NPI record was last updated 2 years ago. Kevin Markham is registered with Medicare and accepts claims assignment.

NPI1003871559 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name KEVIN M MARKHAM M.D.
Provider Location Address521 MONROE ST PETOSKEY, MI 49770 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address521 MONROE ST PETOSKEY, MI 49770 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-19-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-19-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KEVIN M MARKHAM M.D.
521 MONROE ST
PETOSKEY, MI
ZIP 49770
Phone: (231) 487-1900
Fax: (231) 348-0984
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Mailing Address

KEVIN M MARKHAM M.D.
521 MONROE ST
PETOSKEY, MI
ZIP 49770
Phone: (231) 487-1900
Fax: (231) 348-0984

Primary Taxonomy

Taxonomy Code208600000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.4301065831
License StateMI
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
020B41012OTHER (01)MI
0B41012OTHER (01)MI
H42036MEDICARE UPIN (02)MI
4320358MEDICAID (05)MI
0M75210006MEDICARE PIN (08)MI
P00117059OTHER (01)MI

Map Location


KEVIN M MARKHAM M.D. address is 521 MONROE ST PETOSKEY, MI 49770

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104048099DR. ZACHARY AARON HORTON M.D.
Individual
Surgery521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900
1326105818 TERESA BEARSS KERSTING PAC
Individual
Physician Assistant521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900
1346205804 DAVID JOEL RYNBRANDT MD
Individual
Surgery521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900
1508821000 JEFFREY BLAIR BEAUDOIN M.D.
Individual
Surgery521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900
1730145574PETOSKEY SURGEONS, P.C.
Organization
Surgery521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900
1881931756 MICHAEL MARTIN MD
Individual
Surgery521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900
1912155789 ANTON A. SHARAPOV M.D.
Individual
Surgery521 MONROE ST
PETOSKEY, MI 49770
(231) 487-1900