Active NPI
Mark Sarazin, MD
- Surgery Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301506855
- Practice address
- 1414 W Fair Ave Ste 230
Marquette, MI 49855-2692 - Phone
- (906) 225-3853
- Fax
- (906) 228-4065
- NPI assigned
- Jun 13, 2017
- Last updated
- Jun 4, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301111903 | MI | |
| Surgery Physician | 208600000X | 4301506855 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Ave Ste 230
Marquette, MI 49855-2692
Mailing address
1414 W Fair Ave Ste 230
Marquette, MI 49855-2692
Phone (906) 225-3853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301111903 | Medicaid | MI |
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
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Fair Ave
Suite 230N
Marquette, MI 49855-2675
Phone (906) 225-3853
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3404
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 22 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301506855 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Surgery | Current | Accepting new patients |
| Surgical Associates of Marquette, P.C. | Surgery | Current | Accepting new patients |
| Constance G. Arnold, M.D.,P.C. | Past | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients | |
| DLP Marquette General Hospital LLC | Past | Accepting new patients |
Locations
1414 W Fair Ave
#230N
Marquette, MI 49855
Phone (906) 225-3853
1414 W Fair Ave
Ste 230
Marquette, MI 49855
Phone (906) 225-3853
1414 W Fair Ave
Ste 230N
Marquette, MI 49855
Phone (906) 225-3853
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
Interoperability endpoints
- mark.sarazin.1@8233.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Surgery
-
- Surgery Physician
- Marquette, MI
- NPI 1902953011
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Plastic Surgery Physician
- Marquette, MI
- NPI 1083723589
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
dba Marquette General Emergency Medicine
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Bell
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
-
- Critical Access Hospital
- L'Anse, MI
- NPI 1558479824
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654300800000",
"number": "1750811709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 230",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552692",
"telephone_number": "906-225-3853",
"fax_number": "906-228-4065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 230",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552692",
"telephone_number": "906-225-3853",
"fax_number": "906-228-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAZIN",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301111903",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301506855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4301111903",
"state": "MI"
}
],
"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 Jun 4, 2022; 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.