Organization Active NPI

Martin S Dubravec MD, PC

  • Allergy & Immunology Physician
  • Cadillac, MI
National Provider Identifier
1033883269
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
MARTIN S DUBRAVEC MD, PC
Practice address
200 E Mason St
Cadillac, MI 49601-1988
Phone
(231) 779-4444
NPI assigned
Aug 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Martin DubravecNPI 1114013711
Title
Ceo Physician Health Care Provider
Phone
(231) 779-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

200 E Mason St
Cadillac, MI 49601-1988

Mailing address

200 E Mason St
Cadillac, MI 49601-1988
Phone (231) 779-4444

National Provider Directory

National Provider Directory

Locations

200 E Mason St
Cadillac, MI 49601
Phone (231) 775-8534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1033883269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MASON ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011988",
            "telephone_number": "231-779-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MASON ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011988",
            "telephone_number": "231-779-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN S DUBRAVEC MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "DUBRAVEC",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO PHYSICIAN HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "231-779-4444"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.