Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MARK ATKINSON VANGORDER
Active
Individual
MARK ATKINSON VANGORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01053877A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036104407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000648429
BC/BS
IN
01
—
01630255
BC/BC
IL
01
—
070058
CCN
IN
01
—
199791
BC/BS
IN
05
—
200327850
—
IN
01
—
220032191
RR MEDICARE
IN
01
—
351173213
HFN
IN
01
—
9512355002
CIGNA
IN
01
—
P00818143
RAILROAD MEDICARE
IN
Enumeration date
08/25/2005
Last updated
01/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up