NPIMap

Individual provider Active NPI

Mark E Haan, MD

  • Surgery Physician
  • Big Rapids, MI
National Provider Identifier
1689608200
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MH065594 Issued in MI
Practice address
705 Oak St
Suite 12
Big Rapids, MI 49307-3107
Phone
(231) 796-7607
Fax
(231) 796-7557
NPI assigned
Jul 10, 2006
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MH065594 MI Primary

Addresses

Primary practice location

705 Oak St
Suite 12
Big Rapids, MI 49307-3107

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mhaan2478@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000632 MI Practitioner - General Surgery 3072419548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecosta County Medical CenterGroup PAC ID 1951215540, 53 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-1079

705 Oak St
Big Rapids, MI 49307-3108

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MH065594MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United Surgery CurrentSince Oct 22, 2021 Accepting new patients
Reed City Hospital Corporation CurrentSince Sep 7, 2015 Accepting new patients
Mecosta County Medical Center CurrentSince Sep 7, 2015 Accepting new patients
Reed City Hospital Corporation CurrentSince Sep 7, 2015 Accepting new patients
Mecosta County Medical Center CurrentSince Sep 7, 2015 Accepting new patients
Spectrum Health United CurrentSince Oct 22, 2021 Accepting new patients
Reed City Hospital Corporation Current Accepting new patients
Mecosta Health Services, Inc Past Accepting new patients
Reed City Hospital Corporation Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

705 Oak St
Unit 12
Big Rapids, MI 49307
Phone (231) 796-7607

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

707 S Greenville West Dr
Greenville, MI 48838
Phone (616) 464-2810

225 N State St
Reed City, MI 49677
Phone (231) 832-7108

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • Direct secure messaging: mhaan2478@epic00.corewelldirect.org
  • Direct secure messaging: mhaan2478@epic00.shdirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1689608200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 OAK ST",
            "address_2": "SUITE 12",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493073107",
            "telephone_number": "231-796-7607",
            "fax_number": "231-796-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAN",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "MH065594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhaan2478@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "705 Oak St",
            "address_2": "Suite 12",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493073107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "705 Oak St",
            "address_2": "Suite 12",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493073107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.