Individual provider Active NPI

Marko Jovanovski, PA-C

  • Physician Assistant
  • Port Huron, MI
National Provider Identifier
1316404403
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009032 Issued in MI
Practice address
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone
(810) 989-3300
Fax
(810) 985-2671
NPI assigned
Feb 25, 2019
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009032 MI Primary

Addresses

Primary practice location

1221 Pine Grove Ave
Port Huron, MI 48060-3511

Mailing address

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 989-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318001279 MI Practitioner - Physician Assistant 8527308196 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Get Well Urgent Care Macomb PLCGroup PAC ID 6204232176, 19 clinicians
Springfield Urgent Care PLLCGroup PAC ID 3971869942, 26 clinicians
Get Well Urgent Care Sterling Heights PLCGroup PAC ID 8820405400, 19 clinicians
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians

Practice addresses (Care Compare)

15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100

21929 E 9 Mile Rd
Saint Clair Shores, MI 48080-2906
Phone (248) 942-5888

2567 Metropolitan Pkwy
Sterling Heights, MI 48310-7146
Phone (586) 754-0000

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

320 Town Ctr Blvd
Suite 101
White Lake, MI 48386-2183

350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797

9749 Dixie Hwy
Suite B
Clarkston, MI 48348-5406
Phone (248) 942-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009032MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Shelby PLC CurrentSince Dec 17, 2025 Accepting new patients
Get Well Urgent Care Macomb PLC CurrentSince Dec 17, 2025 Accepting new patients
McLaren Medical Group CurrentSince Aug 6, 2023 Accepting new patients
Shelby Urgent Care PC CurrentSince Jun 1, 2022 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Jan 1, 2021 Accepting new patients
Rochester Urgent Care, P. C. CurrentSince Jan 1, 2021 Accepting new patients
Get Well Urgent Care Madison Heights PLC CurrentSince Dec 17, 2025 Accepting new patients
McLaren Medical Group Physician Assistant CurrentSince Aug 6, 2023 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Jan 1, 2021 Accepting new patients
Southfield City Urgent Care PC CurrentSince Dec 17, 2025 Accepting new patients
Roseville Urgent Care, PC CurrentSince Dec 17, 2025 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Dec 17, 2025 Accepting new patients
Get Well Urgent Care Sterling Heights PLC CurrentSince Dec 17, 2025 Accepting new patients
First Choice Urgent Care PC Past Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 120
Clarkston, MI 48346
Phone (248) 625-2273

15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070

13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040

51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marko.jovanovski.1@31854.direct.athenahealth.com

Organizations & group practices 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1316404403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-989-3300",
            "fax_number": "810-985-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PINE GROVE AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603511",
            "telephone_number": "810-989-3300",
            "fax_number": "810-985-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVANOVSKI",
        "first_name": "MARKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.