Mark L Callaghan, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MC034471 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2705

Phone

(906) 226-2569

Fax

(906) 226-2569

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesiology of Marquette, P.C.

  • Anesthesiology Physician
  • Marquette, MI
  • NPI 1225039639
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770584914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CHIPPEWA SQ",
            "address_2": "STE 103",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554821",
            "telephone_number": "906-226-2569",
            "fax_number": "906-226-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-226-2569",
            "fax_number": "906-226-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "MC034471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1246177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Byma Chiropractic, P.C.
• Randall John Byma, DC
• Rachel Byrne
• C. Thomas D.C. P.C. (Discover Chiropractic)
• Sarah Cagle, LLMSW
• Matthew S Callander, MD
• David John Campana, RPH
• Jennifer Campbell, BA
• Rene J Campbell
• Chasity C Caperton, M.D.

• Anesthesiology Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.