MARK ATKINSON VANGORDER MD NPI 1053304956

NPI Information

  • NPI: 1053304956
  • Provider Name: MARK ATKINSON VANGORDER, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20201 CRAWFORD AVE
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Phone: (708) 747-4000

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NPI Details

Mark Atkinson Vangorder, MD is an anatomic pathology and clinical pathology pathology in Olympia Fields, IL with 37 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Mark Atkinson Vangorder, MD NPI is 1053304956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

20201 CRAWFORD AVE
OLYMPIA FIELDS, IL
ZIP 60461-010
Phone: (708) 747-4000
Fax: (708) 503-3242

The NPI 1053304956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Blood smear interpretation by physician with written report (HCPCS:85060)
  • Pathology examination of tissue using a microscope, limited examination (HCPCS:88300)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Microscopic genetic analysis of tumor, manual (HCPCS:88360)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Pathology cytologic examination of specimen during surgery, initial site (HCPCS:88333)

The enumeration date for this NPI number is 8/25/2005 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036104407ILLINOISYes
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology01053877AINDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00818143OTHERINDIANARAILROAD MEDICARE
2200327850MEDICAIDINDIANA
3351173213OTHERINDIANAHFN
4000000648429OTHERINDIANABC/BS
501630255OTHERILLINOISBC/BC
6220032191OTHERINDIANARR MEDICARE
79512355002OTHERINDIANACIGNA
8070058OTHERINDIANACCN
9199791OTHERINDIANABC/BS
10351173213OTHERINDIANAISPAT/INLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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