Mark a Kallus MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARK A KALLUS MD PC

Practice address

360 E Chicago St
Suite 111
Coldwater, MI 49036-2086

Phone

(517) 278-8871

Fax

(517) 278-6053

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Kallus, MD

Title

Physician

Phone

(517) 278-8871

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kate Meryl Supianoski, PA

  • Medical Physician Assistant
  • East Lansing, MI
  • NPI 1679767222
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1407900681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490360307",
            "telephone_number": "517-278-8871",
            "fax_number": "517-278-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E CHICAGO ST",
            "address_2": "SUITE 111",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362086",
            "telephone_number": "517-278-8871",
            "fax_number": "517-278-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A KALLUS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "KALLUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-278-8871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4396777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anand Mukund Manohar, M.D.
• Beth M Mapes, LMT
• Marcos a Rodriguez MD
• Marcos Rodriguez MD PC
• Marjan Mohamadi M.D.
• Elise Marsh, DPT
• Michael Martin, DO
• Amber Marie Martinez
• Gaudencio Peralta Martinez Jr., MD
• Michelle Kathleen Marvin, MS, RD

• Internal Medicine Physician in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.