PETOSKEY SURGEONS, P.C. - NPI 1730145574

Q: What is Petoskey Surgeons, P.C.'s NPI number?

The NPI number for Petoskey Surgeons, P.C. is 1730145574. It was assigned to this organization in the NPPES registry on April 21, 2006.

Q: What is Petoskey Surgeons, P.C.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

On this page

About Petoskey Surgeons, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETOSKEY SURGEONS, P.C. (NPI 1730145574) is a healthcare organization registered as a surgery in Petoskey, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Kevin M. Markham, President, as its authorized official.

NPPES Registry Identity

NPI1730145574

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePETOSKEY SURGEONS, P.C.

Location Address521 MONROE STPetoskey, MI 49770-2266

Mailing Address521 Monroe StPetoskey, MI 49770-2266 · (231) 487-1900 · Fax (231) 348-0984

Phone(231) 487-1900

Fax(231) 348-0984

Organization SubpartNo

Authorized OfficialKevin M. MarkhamPresident · (231) 487-1900

Enumeration DateApril 21, 2006

Last NPPES UpdateJune 7, 2012

✔ NPI 1730145574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A 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.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

521 MONROE ST, Petoskey, MI 49770

Open in Google Maps ↗

Other Identifiers 3

Other020B41012MI · Blue Cross Blue Shield

Medicare UPIN0M75210

Other020B41012MI · Blue Care Network

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2157038

Petoskey Surgeons, PC · Petoskey, MI

Active · expires Oct 29, 2026

CLIA Number23D2157038

Laboratory TypePhysician Office

Certificate Effective DateOctober 30, 2024

Certificate Expiration DateOctober 29, 2026

Laboratory DirectorKevin M. Markham

Laboratory Phone(231) 487-1900

Laboratory LocationPetoskey Surgeons, PC521 Monroe Street, Petoskey, MI 49770

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN M MARKHAM M.D.

Surgery