Marko Habekovic MD, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301076276 Issued in MI

Legal business name

MARKO HABEKOVIC MD, PLLC

Practice address

1000 E Paris Ave SE Ste 111
Grand Rapids, MI 49546-3680

Phone

(616) 222-4111

NPI assigned

Jul 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marko Habekovic, MDNPI 1992748198

Title

MD

Phone

(616) 222-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marko Habekovic, MD

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1992748198
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1548756141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 111",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-222-4111",
            "fax_number": "616-222-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 111",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-222-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKO HABEKOVIC MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "HABEKOVIC",
        "authorized_official_first_name": "MARKO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "616-222-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301076276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Markham, LPC, CAADC, CCS
• Kathryn Markham, DO
• Madison Elaine-Maarie Markham, LMSW
• Nicole Markiewicz, NP
• Jennifer Marie Marklevitz, NP
• Kristy Markowski
• Louis W Marks, M.D.
• Peter Marks, MD
• Diane Marlin, LBSW
• Nathan Edward Marlowe, PA-C

• Ophthalmology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.