Dr. Mark Double, D.O.
Dr. Mark Double is a Anesthesiology Physician provider (Anesthesiology) practicing in Jackson, MI, registered in the NPPES registry with NPI 1669403903 since 2006. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669403903 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark Double |
| Credential | D.O. |
| Sex | Male |
| Practice address | 205 N EAST AVE, Jackson, MI, 49201 |
| Phone | 5177884963 |
| Fax | 5177895903 |
| Enumeration date | 2006-07-05 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207L00000X | Anesthesiology Physician | Primary | 51-01-011675 | MI |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4586940 | Medicaid | MI | — |
Copy-ready billing details
Provider: Mark Double, D.O. NPI: 1669403903 Taxonomy: 207L00000X (Anesthesiology Physician) Address: 205 N EAST AVE, Jackson, MI, 49201
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093715690 | Essam Tellawi | Individual | Gastroenterology Physician | Jackson, MI |
| 1295736015 | Jackson Radiology Consultants, P C | Organization | Diagnostic Radiology Physician | Jackson, MI |
| 1447251194 | Bhaskar Shenai | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1831190461 | Renuka Patel | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1770584948 | Piyush Patel | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1033110549 | James Heisel | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1215938782 | Libby Anderson | Individual | Diagnostic Radiology Physician | Jackson, MI |
| 1396746889 | Samir Parikh | Individual | Diagnostic Radiology Physician | Jackson, MI |
Verify this record
Cross-check NPI 1669403903 against the authoritative CMS record: view Dr. Mark Double on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.