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

Mark A Evenhouse, MD

Individual provider Pediatrics Physician · NPI 1053386367

Mark A Evenhouse, MD is a Pediatrics Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-3139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301050027 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301050027 (MI)

Record details

NPI number1053386367
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

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