Mark G Adorjan, MD
Individual provider Active NPI Family Medicine Physician · Appleton, WI
NPI 1164430732 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1164430732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 45080 (WI)
- Practice address
- W3124 Van Roy Rd
Appleton, WI 54915-3982 - Phone
- (920) 730-2747
- Fax
- (920) 730-2207
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care of the Fox Cities SC
Practice addresses (Care Compare)
W3124 Van Roy Rd
Appleton, WI 54915-3929
Phone (920) 730-2747
Hospital & facility affiliations
- Thedacare Regional Med Ctr - Neenah
- Thedacare Regional Medical Center - Appleton Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 39 |
| Removal or shaving of skin growth | 42 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090115000571 | WI | Practitioner - Family Practice | 5799848875 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45080 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care of the Fox Cities SC | Family Medicine | Current |
Accepting new patients |
Locations
W3124 Van Roy Rd
Appleton, WI 54915
Phone (920) 730-2747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45080 | WI | Yes |
Addresses
Primary practice location
W3124 Van Roy Rd
Appleton, WI 54915-3982
Mailing address
W3124 Van Roy Rd
Appleton, WI 54915-3982
Phone (920) 730-2747
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34403100 | Medicaid | WI |
Other providers in Appleton, WI
- Abisoye A Adebayo
- Melissa L Adelman
- Anna Adesso
- Karen R Adler-Fischer
- Melissa L Adlington
- Adult Care Consultants Inc
- Advance Chiropractic Health Center, Inc.
- Advanced Dental Specialists, LLC
- Advanced Dental Specialists, LLC
- Advanced Movement Studio
All providers in Appleton, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.