MARK A. JONKER (NPI# 1780620039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620039 |
| Entity Type | Individual |
| Full Name | MARK A. JONKER |
| Credential | M.D. |
| Practice Address |
2305 Genoa Business Park Dr Ste 120 Brighton MI 48114 |
| Mailing Address |
24 Frank Lloyd Wright Dr Lbby J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 8104946881 |
| Practice Fax Number | 8104946882 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301108483 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 258991 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110099977A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Lake Ave N, Department of Surgery, Worcester, MA 016550002 | 5083340545 | 7744430544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780030452 | Mark Riley Jonker | Internal Medicine | 79 Retreat Avenue, Hartford Hospital, Adult Primary Care- Brown Stone, Hartford, CT 06106 | 2016-05-11 |
| Street Address |
2305 GENOA BUSINESS PARK DR STE 120 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326679879 | Iha Health Service Corporation | Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 | 2020-02-03 |
| 1104029693 | Kristoffer Bradley Sugg | Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 | 2007-06-11 |
| 1245377837 | John Kenneth Anderson | Orthopaedic Surgery | 2305 Genoa Business Park Dr Ste 120, Brighton, MI 48114-7004 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013390731 | Zahra Alhajji | Surgery | 736 Cambirdge St, Brighton, MA 02135 | 2015-06-30 |
| 1760896179 | Chandni Ravi | Surgery | 1669 Commonwealth Ave, Apartment #1, Brighton, MA 02135-4948 | 2014-06-13 |
| 1831539071 | Amanda Kupstas | Surgery | 2305 Genoa Business Park Dr Ste 210, Brighton, MI 48114-7005 | 2013-07-02 |
| 1407295397 | Rachel Lauren Goldstein | Surgery | 15 Beechcroft St, Apt 1, Brighton, MA 02135-2571 | 2013-06-24 |
| 1790941391 | Justin Lee | Surgery | 24a Winship St, Brighton, MA 02135-3312 | 2008-08-03 |
| 1790941805 | Fariba Dayhim | Surgery | 10415 Grand River Rd Ste 100, Brighton, MI 48116-6533 | 2008-07-29 |
| 1184821266 | Matthew T Lemaitre | Surgery | 11 Nevins St Ste 407d, Brighton, MA 02135 | 2007-07-02 |
| 1841419868 | Leon Calvin Baber | Surgery | 122 Pioneer Way, Brighton, CO 80603-5724 | 2007-04-25 |
| 1366578098 | Claudius Conrad | Surgery | 11 Nevins St Ste 201, Brighton, MA 02135-3514 | 2007-02-26 |
| 1063039279 | Michael H Froehlich | Surgery | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| Find all providers in BRIGHTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.