Kristina Vander Mark, M.D.
NPI 1366538860 · Obstetrics & Gynecology Physician · Lakeland, FL
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366538860
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301076692 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 3015 Lakeland Highlands RdLakeland, FL 33803-4339Phone: (863) 284-6860
- 1637 Shepherd RdLakeland, FL 33811-2122Phone: (863) 284-6860
- 1525 Lakeland Hills BlvdLakeland, FL 33805-3203Phone: (863) 284-6860
- 6401 Prairie StSuite 2100Muskegon, MI 49444-7840Phone: (231) 727-7939Fax: (231) 727-7935
- 22255 Greenfield Rd Ste 352Southfield, MI 48075-3712Phone: (248) 849-3401Fax: (248) 849-4106
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.