Joseph Marvyn Neri, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101013054 Issued in MI

Practice address

220 Burdette St
Saint Ignace, MI 49781-1712

Phone

(906) 643-8585

Fax

(906) 643-9036

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mneri128295@mymichiganhealth.midirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mackinac Straits Health System Inc

  dba Mackinac Straits Hospital and Health Center

  • Critical Access Hospital
  • Saint Ignace, MI
  • NPI 1124283502

  Emergency Medicine

  Medicare reassignment NPD
• Mackinac Straits Health System Inc

  dba Mackinac Straits Hospital and Health Center

  • General Practice Physician
  • Saint Ignace, MI
  • NPI 1659536035

  Emergency Medicine

  Medicare reassignment NPD
• Mymichigan Medical Center Sault

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sault Sainte Marie, MI
  • NPI 1639190382
  Medicare reassignment NPD
• Mackinac Straits Health System Inc

  dba Rivertown Medical Clinic

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1659868206

  Family Medicine

  NPD
• Mymichigan Medical Center Sault

  • Anesthesiology Physician
  • Sault Sainte Marie, MI
  • NPI 1457305674
  NPD
• Mymichigan Medical Center Sault

  • Anatomic Pathology & Clinical Pathology Physician
  • Sault Sainte Marie, MI
  • NPI 1518819739
  NPD
• Bay Street Orthopaedics PLLC

  • Durable Medical Equipment & Medical Supplies
  • Gaylord, MI
  • NPI 1982238705
  NPD (past)
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1316968043
  NPD (past)
• Community Memorial Hospital

  • Physician Assistant
  • Cheboygan, MI
  • NPI 1760571038
  NPD (past)
• Mymichigan Medical Center Sault

  • Family Medicine Physician
  • Kincheloe, MI
  • NPI 1851434419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023022902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 HARRISON AVE APT 404",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211377",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BURDETTE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811712",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "JOSEPH",
        "middle_name": "MARVYN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101013054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael W Johnson, MD, PC
• Krystal Lorraine Mittelsteadt
• Kathryn E Mizzi, LMSW MSW ACSW
• Moses Dialysis Unit
• Deborah Narrin, MSW
• Nicholas R Newhouse, CRNA
• Mary Joe North, RN
• Donna Marie Nye I
• Beverly S. Osborne, MSW,ACSW
• Brent Richard Paape, NP

• Emergency Medicine Physician in Saint Ignace, MI
• Providers in Saint Ignace, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.