MARK LOUIS GOSTINE MD NPI 1619938545

NPI Information

  • NPI: 1619938545
  • Provider Name: MARK LOUIS GOSTINE, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2060 E PARIS AVE SE
    SUITE 200
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 285-1377

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NPI Details

Mark Louis Gostine, MD is an interventional pain medicine pain medicine in Grand Rapids, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Mark Louis Gostine, MD NPI is 1619938545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2060 E PARIS AVE SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49546-113
Phone: (616) 285-1377
Fax: (616) 285-1006

The NPI 1619938545 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.

  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 3/30/2006 and was last updated on 5/4/2021.

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
1208VP0014XPain MedicineInterventional Pain Medicine4301041353MICHIGANYes

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
11492766OTHERCIGNA
240982OTHERAETNA
34552951-10MEDICAIDMICHIGAN
4550410415OTHERMICHIGANBLUE CROSS BLUE SHIELD
57000027071OTHERPRIORITY HEALTH
61070467OTHERFIRST HEALTH
74654209-10MEDICAIDMICHIGAN
87000027071OTHERPRIORITY HEALTH MEDICAID

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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