NPIMap

Organization Active NPI

MK Certified, LLC

  • General Practice Physician
  • Ann Arbor, MI
National Provider Identifier
1336602812
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MK CERTIFIED, LLC
Practice address
2140 Stone Rd
Ann Arbor, MI 48105-2535
Phone
(402) 618-9808
NPI assigned
Apr 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Mitchell Kohl, MD
Title
Owner
Phone
(402) 618-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2140 Stone Rd
Ann Arbor, MI 48105-2535

Mailing address

2140 Stone Rd
Ann Arbor, MI 48105-2535
Phone (402) 618-9808

National Provider Directory

National Provider Directory

Locations

716 Howe Ave
Cuyahoga Falls, OH 44221
Phone (330) 836-3333

3232 Executive Pkwy
Ste 103
Toledo, OH 43606
Phone (855) 694-9835

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1336602812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 STONE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052535",
            "telephone_number": "402-618-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 STONE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052535",
            "telephone_number": "402-618-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK CERTIFIED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-618-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.