DR. PAUL MARK M.D. NPI 1831137629

NPI Information

  • NPI: 1831137629
  • Provider Name: DR. PAUL MARK, M.D.
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 MICHIGAN ST NE
    SUITE 2000
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 391-2192

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NPI Details

DR. Paul Mark, M.D. is a clinical genetics (m.d.) medical genetics in Grand Rapids, MI with 34 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Paul Mark, M.D. NPI is 1831137629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

25 MICHIGAN ST NE
SUITE 2000
GRAND RAPIDS, MI
ZIP 49503-515
Phone: (616) 391-2192
Fax: (616) 391-3114

The NPI 1831137629 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 enumeration date for this NPI number is 6/3/2006 and was last updated on 2/26/2021.

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
1207V00000XObstetrics & Gynecology01040767AINDIANANo
2207SG0201XMedical GeneticsClinical Genetics (M.D.)4301057958MICHIGANYes

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
11831137629MEDICAIDMICHIGAN
2200056530AMEDICAIDINDIANA

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: 3/30/2025

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