Active NPI
Mark S. Geissler, M.D., P.C.
- Plastic and Reconstructive Surgery Physician
- Marquette, MI
National Provider Identifier
1205006285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 4301061171
- Legal business name
- MARK S. GEISSLER, M.D., P.C.
- Practice address
- 1414 W Fair Ave
Suite 230
Marquette, MI 49855-2675 - Phone
- (906) 225-3853
- Fax
- (906) 228-4065
- NPI assigned
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly M. Kurian
- Title
- Billing Manager
- Phone
- (906) 225-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 4301061171 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Ave
Suite 230
Marquette, MI 49855-2675
Mailing address
1414 W Fair Ave
Suite 230
Marquette, MI 49855-2675
Phone (906) 225-3853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2405232590 | Other | BLUE CROSS BLUE SHIELD | |
| 2952097 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1205006285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE",
"address_2": "SUITE 230",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-225-3853",
"fax_number": "906-228-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE",
"address_2": "SUITE 230",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-225-3853",
"fax_number": "906-228-4065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK S. GEISSLER, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "KURIAN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "906-225-4510",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "4301061171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2405232590",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2952097",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.