Individual provider Active NPI

Mark Sarazin, MD

  • Surgery Physician
  • Marquette, MI
National Provider Identifier
1750811709
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301506855 Issued in MI
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4301111903MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720002622 MI Practitioner - General Surgery 2769750322 Reassigns benefits to 2 organizations

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
Surgical Associates of Marquette, P.C.Group PAC ID 7719081074, 4 clinicians

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

ProcedureNumber of procedures
Colonoscopy22
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301506855MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Jul 1, 2025 Accepting new patients
DLP Marquette Physician Practices Inc Surgery CurrentSince Jul 1, 2025 Accepting new patients
Surgical Associates of Marquette, P.C. Surgery CurrentSince Aug 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.