Mark Stephen Kinziger, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301042307 Issued in MI

Practice address

1266 E Sherman Blvd
Muskegon, MI 49444-1847

Phone

(231) 739-9009

Fax

(231) 733-0566

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shoreline Optical, LLC

  • Eyewear Supplier
  • Muskegon, MI
  • NPI 1114097359

  Ophthalmology

  NPD (past)
• Shoreline Optical, LLC

  • Eyewear Supplier
  • Grand Haven, MI
  • NPI 1184781676
  NPD (past)
• Shoreline Optical, LLC

  • Eyewear Supplier
  • Fremont, MI
  • NPI 1326383506
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1114908423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZIGER",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301042307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3247020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel James King, MD
• Leslie N Kingsley, D.O.
• Michael Wayne Kinning, D.O.
• Daphynne Ann Kinsey, DOULA
• Elizabeth Marie Kinsey
• William F Kirchhaine Jr., M.D.
• Carla Ja'Nae Kirksey, BSW
• Daniel E Kislov, MD
• Ashley Marie Kiss
• Norman Kittleson

• Ophthalmology Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.