MARK C. ANTONISHEN, M.D., P.L.L.C. (NPI# 1861681819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861681819 |
| Entity Type | Organization |
| Organization Name | MARK C. ANTONISHEN, M.D., P.L.L.C. |
| Practice Address |
405 N Division Rd Ste 3 Petoskey MI 49770-9045 |
| Practice Telephone | 2314876030 |
| Practice Fax Number | 2314876010 |
| Mailing Telephone | 2314876030 |
| Mailing Fax Number | 2314876010 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | MARK C ANTONISHEN (PRESIDENT) |
| Authorized Official Telephone | 2314876030 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301046169 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
405 N DIVISION RD STE 3 |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109463 | James M Shirilla | Internal Medicine | 405 N Division Rd, Suite 3, Petoskey, MI 49770-9045 | 2006-07-19 |
| 1396958500 | Northern Michigan Allergy & Asthma Center, P.C. | Allergy & Immunology | 405 N Division Rd, Suite 4, Petoskey, MI 49770-9045 | 2007-05-07 |
| 1528169729 | Albert Timothy Linehan Iv | Allergy & Immunology | 405 N Division Rd, Suite 4, Petoskey, MI 49770-9045 | 2006-09-26 |
| 1629173026 | James M Shirilla Md PC | Internal Medicine | 405 N Division Rd, Suite 3, Petoskey, MI 49770-9045 | 2006-09-13 |
| 1215049887 | Northern Michigan Urology P.C. | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-31 |
| 1669586871 | Howard Michael Topley | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-18 |
| 1841304961 | James Murray Howard | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-18 |
| 1952415077 | John W Hall | Urology | 405 N Division Rd, Suite 2, Petoskey, MI 49770-9045 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134440712 | Kim Aikens | Internal Medicine | 7336 Preserve Ct, Petoskey, MI 49770-8548 | 2010-06-17 |
| 1598799785 | Michael Duane Banyai | Internal Medicine | 1890 S Us Highway 131, Suite 4, Petoskey, MI 49770-8344 | 2006-07-11 |
| 1497745061 | Eric Nile Basmaji | Internal Medicine | 416 Connable Avenue, Northern Michigan Regional Hospital, Petoskey, MI 49770 | 2005-10-25 |
| 1437156940 | Melanie S Manary | Internal Medicine | 560 W Mitchell St, Ste 300, Petoskey, MI 49770-2278 | 2005-06-30 |
| 1609281401 | Cale M Sebald | Internal Medicine | 560 W Mitchell St, Petoskey, MI 49770-2275 | 2014-07-01 |
| 1548430846 | Margaret A Orr Md Pllc | Internal Medicine | 2810 Charlevoix Ave, Arrowhead Commons, Suite 106, Petoskey, MI 49770-8421 | 2008-03-03 |
| 1760689665 | Elena Catherine Coppola | Internal Medicine | 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2275 | 2007-07-03 |
| 1417075987 | Daniel Mark Buerkel | Internal Medicine | 560 W Mitchell St, Suite 400, Petoskey, MI 49770-2275 | 2007-03-26 |
| 1184718793 | Margaret Ann Orr | Internal Medicine | 2810 Charlevoix Avenue, Suite #106, Petoskey, MI 49770 | 2006-10-03 |
| 1972556702 | Boyne Country Urgent Care P.C. | Internal Medicine | 1937 M 119, Petoskey, MI 49770-8913 | 2006-05-19 |
| Find all providers in PETOSKEY | ||||
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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.