Byron J Druzgal
Individual provider Active NPI Emergency Medicine Physician · Spring Lake, MI
NPI 1003868191 · NPPES record last updated Mar 3, 2011
Key facts
- NPI
- 1003868191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- D0061444 (MD)
- Practice address
- 606 Edgewater CT
Spring Lake, MI 49456-2171 - Phone
- (616) 842-3600
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Maryland School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand River Emergency Medical Group PLC
Practice addresses (Care Compare)
200 Jefferson Ave SE
Mercy Health St. Mary'S
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Aspirus Keweenaw Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061201000278 | MI | Practitioner - Emergency Medicine | 9739143173 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061444 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand River Emergency Medical Group PLC | Emergency Medicine | Current |
Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Islands Emergency Medical Service Hawaii, LLC | Past | Accepting new patients | |
| Epmg of Michigan, P.C. | Emergency Medicine | Past |
Accepting new patients |
| Flowing Waters Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Health Partners Grand Haven PLC | Emergency Medicine | Past | Accepting new patients |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Past | Accepting new patients |
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0061444 | MD | Yes |
Addresses
Primary practice location
606 Edgewater CT
Spring Lake, MI 49456-2171
Mailing address
606 Edgewater CT
Spring Lake, MI 49456-2171
Phone (717) 387-2255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00150017 | Other | MD | RAILROAD |
| 451601000 | Medicaid | MD | |
| 405812700 | Medicaid | MD |
Other providers in Spring Lake, MI
- Isaac Deatherage
- Robert Deckert
- Karli Dehaan
- Alyssa Lea Dilley
- Lyndle Wayne Doyle
- Bruce W Dudley
- Dunegrass Healing
- Coleen Durbin Matrone
- Tonya J Dutton
- Elder Eye Care Group PLC
All providers in Spring Lake, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.