Mark Conrad Stover, MD
NPI 1093876138ActiveIndividual· Emergency Medicine· Kotzebue, AK
Emergency Medicine (MD) in Kotzebue, Alaska, trained at Washington University School of Medicine (class of 2003). Enrolled in Medicare as practitioner - emergency medicine and practitioner - emergency medicine.
Overview
| NPI | 1093876138 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Nov 17, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | C55475 | CA |
| Emergency Medicine | 207P00000X | 04-34374 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA); Practitioner - Emergency Medicine (TX) |
|---|
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Emergency Medicine |
Medical group
- Maniilaq AssociationKotzebue, AK · 36 clinicians
Hospital affiliation
- Maniilaq Health CenterKotzebue, AK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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