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MARK LOUIS GOSTINE MD NPI 1619938545


NPI Information

NPI: 1619938545
Provider Name: MARK LOUIS GOSTINE, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
2060 E PARIS AVE SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 285-1377
Get Directions

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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.