Mark Stewart Calkins, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Fort Madison, IA
NPI 1770516353 · NPPES record last updated May 19, 2015
Key facts
- NPI
- 1770516353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 39197 (IA)
- Practice address
- 5409 Avenue O
Fort Madison, IA 52627-9601 - Phone
- (319) 376-2134
- Fax
- (319) 376-2188
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39537 | FL | MD | Orthopaedic Surgery Physician |
| 39197 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BFM Keokuk Clinic, LLC | Current | Accepting new patients | |
| Stephen T. Enguidanos, MD | Orthopaedic Surgery | Past |
Accepting new patients |
| Mark S. Calkins, MD, PA. | Orthopaedic Surgery | Past |
Accepting new patients |
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME39537 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 39197 | IA | Yes |
Addresses
Primary practice location
5409 Avenue O
Fort Madison, IA 52627-9601
Mailing address
5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07604736 | Medicaid | MS | |
| 1770516353 | Other | IA | WELLMARK BLUE CROSS OF IOWA |
| 1770516353 | Medicaid | IA | |
| 2379348 | Medicaid | LA |
Other providers in Fort Madison, IA
- Allison Michelle Blodgett
- Josef A Blunier
- Robert Harry Brockman
- Jessica Burdette
- Kolleen Burnett
- Christina Marie Campbell-Oberman
- City of Fort Madison
- Jan Christine Clark
- Clear View Vision Center, LLC
- Jennifer Cooper
All providers in Fort Madison, IA · Orthopaedic Surgery Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.