Active NPI
Jeffrey Allen Conklin, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036.120418
- Practice address
- 850 W Baraga Ave
Marquette, MI 49855 - Phone
- (906) 449-3000
- NPI assigned
- Aug 20, 2006
- Last updated
- Oct 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.120418 | IL | Primary |
Addresses
Primary practice location
850 W Baraga Ave
Marquette, MI 49855
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other practice location 1
303 E Chicago Ave
department of pathology, ward 3-140
Chicago, IL 60611-4296
Phone (312) 503-8223
Other practice location 2
303 E Chicago Ave
department of pathology, ward 3-140
Chicago, IL 60611-4296
Phone (312) 503-8223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.120418 | Other | IL | PHYSICIAN LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000
500 Campus Dr
Hancock, MI 49930-1569
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 225-7662
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.120418 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Laboratories of Marquette, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
- NPI 1285681155
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
-
dba UP Health System Bell
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Mackinac Straits Hospital and Health Center
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
-
dba Rivertown Medical Clinic
- Rural Health Clinic/Center
- Cheboygan, MI
- NPI 1659868206
Hospital
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
-
- Critical Access Hospital
- Manistique, MI
- NPI 1700805157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1598870719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W BARAGA AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-449-3000"
}
],
"practiceLocations": [
{
"address_1": "303 E Chicago Ave",
"address_2": "department of pathology, ward 3-140",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114296",
"country_code": "US",
"telephone_number": "312-503-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 E Chicago Ave",
"address_2": "department of pathology, ward 3-140",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114296",
"country_code": "US",
"telephone_number": "312-503-8223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONKLIN",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.120418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "036.120418",
"state": "IL"
}
],
"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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.