Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Double, DO

Individual provider Anesthesiology Physician · NPI 1669403903

Dr. Mark Double, DO is an Anesthesiology in Jackson, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1992, 34 years ago. Practices with Anesthesia Associates of Ann Arbor PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
34
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4963
Fax: (517) 789-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 51-01-011675 (MI)

Record details

NPI number1669403903
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address205 N East Ave, Jackson, MI 49201-1753

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1992 (34 years in practice)
Group practice Anesthesia Associates Of Ann Arbor Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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