Petoskey Surgeons, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PETOSKEY SURGEONS, P.C.

Practice address

521 Monroe St
Petoskey, MI 49770-2266

Phone

(231) 487-1900

Fax

(231) 348-0984

NPI assigned

Apr 21, 2006

Last updated

Jun 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin M. Markham, M.D.NPI 1003871559

Title

President

Phone

(231) 487-1900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 50

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.

• Kevin M Markham, M.D.

  • Surgery Physician
  • Petoskey, MI
  • NPI 1003871559
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Blair Beaudoin, M.D.

  • Surgery Physician
  • Petoskey, MI
  • NPI 1508821000
  Medicare reassignment Care Compare group NPD
• Andrew Nicholas Hollenbeck, M.D.

  • Surgery Physician
  • Detroit, MI
  • NPI 1790028207
  Medicare reassignment Care Compare group NPD
• Levon Khojayan, MD

  • Vascular Surgery Physician
  • Petoskey, MI
  • NPI 1114217197
  Medicare reassignment Care Compare group NPD
• Jennifer Kiel, DO

  • Surgery Physician
  • Mount Clemens, MI
  • NPI 1841786753
  Medicare reassignment Care Compare group NPD
• Michael Martin, MD

  • Surgery Physician
  • Petoskey, MI
  • NPI 1881931756
  Medicare reassignment Care Compare group NPD
• Andrea Parsons, DO

  • Surgery Physician
  • Petoskey, MI
  • NPI 1518493329
  Medicare reassignment Care Compare group NPD
• Anton A. Sharapov, M.D.

  • Surgery Physician
  • Petoskey, MI
  • NPI 1912155789
  Medicare reassignment Care Compare group NPD
• Kristine A Cononico, PA

  • Surgical Physician Assistant
  • Mt Pleasant, MI
  • NPI 1245260710
  Medicare reassignment Care Compare group
• Rita Nichole Balistreri, FNP-BC

  • Family Nurse Practitioner
  • Petoskey, MI
  • NPI 1184868762
  Medicare reassignment NPD
• Ronald C Barry

  • Plastic Surgery Physician
  • Saginaw, MI
  • NPI 1417952888
  Medicare reassignment NPD
• Andrew Bayci, M.D.

  • Surgery Physician
  • Bay City, MI
  • NPI 1083901169
  Medicare reassignment NPD

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1730145574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETOSKEY SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "MARKHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-487-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petoskey Pediatrics, PC
• Petoskey Professional Counselors, LLC
• Petoskey Psychological Health and Wellness, PLLC
• Petoskey Radiation Oncology, PLC
• Petoskey Spine Rehab
• Petoskey Urgent Care Billing PC
• Petoskey Urgent Care PC
• PGPT, LLC (Fyzical Therapy and Balance Center of Petoskey)
• Jennifer Elizabeth Phillips, PAC
• Shane Phillips, MS, BCBA, LBA

• Surgery Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.