Organization Active NPI

Mark S. Geissler, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Marquette, MI
National Provider Identifier
1205006285
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
4301061171 Issued in MI
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

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2405232590OtherBLUE CROSS BLUE SHIELD
2952097MedicaidMI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.