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DR. MARK E LEVENTER MD NPI 1174637995


NPI Information

NPI: 1174637995
Provider Name: DR. MARK E LEVENTER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
12337 E MICHIGAN AVE
GRASS LAKE, MI
ZIP 49240
Phone: (517) 522-8403
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DR. Mark E Leventer, MD is a family medicine in Grass Lake, MI with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark E Leventer, MD NPI is 1174637995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1978

The provider's business location address is:

12337 E MICHIGAN AVE
GRASS LAKE, MI
ZIP 49240-246
Phone: (517) 522-8403
Fax: (517) 522-4275

The NPI 1174637995 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineML041377MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10803800311OTHERBCBS PPO
20803800311OTHERBCBS FEP PROGRAM
32126585MEDICAIDMICHIGAN
4383042885OTHERCIGNA CONNECTICUT
5383042885OTHERCIGNA
6383042885OTHERCIGNA HEALTHCARE
7383042885OTHERCONSECO
80803800311OTHERMICHIGANBCBS
9383042885OTHERCIGNA CONNECTICUT GENERAL
100803800311OTHERBCBS BLUE CHOICE
11383042885OTHERCONTINENTAL LIFE
12383042885OTHERCONSECO HEALTHCARE
130803800311OTHERBCBS BLUE PREFERRED
140803800311OTHERBCBS COMMUNITY BLUE
150803800311OTHERBLUE CARE NETWORK
16383042885OTHERCORESOURCE
17383042885OTHERCONTINENTAL
180803800311OTHERBLUE CHOICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.