MARK A. CHESEBRO, JR. D.O. – NPI #1124715073
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MARK CHESEBRO, JR. is a physician located in SAINT JOSEPH, MI. NPPES has assigned the NPI number 1124715073 to MARK CHESEBRO, JR. on April 20, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 3 years ago on May 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK CHESEBRO, JR. below.

NPI Profile for
MARK A. CHESEBRO, JR.

NPI Number
1124715073
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. CHESEBRO, JR.
Credentials
D.O.
Primary location
LAKELAND HEALTH-GME 1234 NAPIER AVENUE
SAINT JOSEPH, MI 49085
Phone: (269) 982-4941 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
MI 5151016213
390200000X
- Student in an Organized Health Care Education/Training Program
MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.