Mark Wendell Eakes, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56051 Issued in MN

Practice address

295 10TH Ave
Granite Falls, MN 56241-1456

Phone

(320) 564-2511

NPI assigned

Jul 13, 2011

Last updated

Aug 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1043508922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 10TH AVE",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411456",
            "telephone_number": "320-564-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 10TH AVE",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "562411456",
            "telephone_number": "320-564-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKES",
        "first_name": "MARK",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "56051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Noelle Bradshaw, CNP
• Darrell L Carter, MD
• Autumn Alise Cavender-Wilson, C.P.M., L.T.M
• Erik Cherveny
• Cynthia Dew Cross, NP-C
• Ann E Eggebraaten, D.C.
• Sierrah Ellenbecker
• Karl Eric Erickson, DDS
• June French, SPEECH PATHOLOGIST
• James Fromm

• Family Medicine Physician in Granite Falls, MN
• Providers in Granite Falls, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.