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

Mark Conrad Stover, MD

Individual provider Emergency Medicine Physician · NPI 1093876138

Mark Conrad Stover, MD is an Emergency Medicine in Kotzebue, Alaska. Graduated from Washington University School of Medicine in 2003, 23 years ago. Practices with Maniilaq Association, a 31-clinician group and accepts Medicare assignment. Licensed in California and Kansas.

Years since qualifying
23
Trained at
Washington University School of Medicine
Licensed in
CA, KS
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

436 5th Ave
Kotzebue, AK 99752
Phone: (907) 442-7148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence C55475 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 04-34374 (KS)

Record details

NPI number1093876138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESNovember 17, 2016
Mailing address705 N San Francisco St, Flagstaff, AZ 86001-3232

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Maniilaq Association — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Kotzebue