Active NPI
Mark Robert Klinker, M.D.
- Internal Medicine Physician
- Kotzebue, AK
National Provider Identifier
1659301505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NH 9280
- Practice address
- 436 5TH & Ted Stevens Way
Kotzebue, AK 99752-0043 - Phone
- (907) 442-3321
- Fax
- (907) 442-7250
- NPI assigned
- Jul 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NH 9280 | NH | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 9280 | NH |
Addresses
Primary practice location
436 5TH & Ted Stevens Way
Kotzebue, AK 99752-0043
Mailing address
160 Crowell Rd
Hopkinton, NH 03229-2615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH 9280 | NH | MD | Internal Medicine Physician |
| 9280 | NH | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1659301505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 CROWELL RD",
"city": "HOPKINTON",
"state": "NH",
"postal_code": "032292615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 5TH & TED STEVENS WAY",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520043",
"telephone_number": "907-442-3321",
"fax_number": "907-442-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINKER",
"first_name": "MARK",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "NH 9280",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NH",
"license": "9280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.