Organization Active NPI

Ella E M Brown Charitable Circle

Doing business as Oaklawn Hospital

  • Diagnostic Radiology Physician
  • Marshall, MI
National Provider Identifier
1043660467
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ELLA E M BROWN CHARITABLE CIRCLE
Doing business as
Oaklawn Hospital
Practice address
200 N Madison St
Marshall, MI 49068-1143
Phone
(269) 781-4271
NPI assigned
Jun 16, 2016
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Mr. Andrew Poole III
Title
Chief Financial Officer
Phone
(269) 789-3936

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

200 N Madison St
Marshall, MI 49068-1143

Mailing address

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Other names 1

  • OAKLAWN HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, HI, NY, CO, MD, AZ, IL, OH, NV, MO, NJ, GA, FL, CA, IN, KY, IA, PA, ID, VA, SC, TX, MN23 enrollments

Enrollment records 23

Enrollment IDStateProvider typePAC IDDetails
O20040616001008 MI Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 197 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marshall, MI; Traverse City, MI; Rochester Hills, MI; Homer, MI; Coldwater, MI; Albion, MI
O20241209000232 HI Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI; Kailua, HI
O20241218001086 NY Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Staten Island, NY; Dix Hills, NY
O20241218001549 CO Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Breckenridge, CO; Colorado Springs, CO; Monument, CO
O20241218002527 MD Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Airy, MD
O20241226000780 AZ Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ; Tucson, AZ
O20241230001132 IL Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Glenview, IL; Naperville, IL
O20250107003315 OH Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 3 practitioners
Practice locations: Bexley, OH; Ottawa Hills, OH
O20250108001633 NV Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV
O20250220000817 MO Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO
O20250226000423 NJ Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Alpine, NJ; Mullica Hill, NJ
O20250304002755 GA Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Augusta, GA; Saint Marys, GA
O20250318003790 FL Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 8 practitioners
Practice locations: Tampa, FL; Tallahassee, FL; Seminole, FL; Fleming Island, FL; Estero, FL; Englewood, FL; Boca Raton, FL; Hollywood, FL
O20250402002428 CA Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 8 practitioners
Practice locations: Chula Vista, CA; Tarzana, CA; San Rafael, CA; Sacramento, CA; Irvine, CA; Anaheim, CA; Agoura Hills, CA; Orange, CA
O20250506002352 IN Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 26 practitioners
Practice locations: Fort Wayne, IN; Granger, IN; Indianapolis, IN; Roanoke, IN; Bloomington, IN; Carmel, IN; Crown Point, IN; Fishers, IN
O20250813000346 KY Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY; Simpsonville, KY
O20250814002093 IA Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IA
O20250818002980 PA Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA
O20250820003421 ID Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID
O20250828003915 VA Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 2 practitioners
Practice locations: Hampton, VA; Suffolk, VA; Leesburg, VA
O20250918002328 SC Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC
O20251015003224 TX Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Flower Mound, TX
O20251125003403 MN Part B Supplier - Clinic/Group Practice 1254228745 Receives reassigned benefits from 1 practitioner
Practice locations: Mahtomedi, MN; Hugo, MN

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

115 Market Pl
Albion, MI 49224
Phone (517) 629-5531

302 N Monroe St
Ste A
Albion, MI 49224
Phone (517) 629-2134

302 N Monroe St
Ste B
Albion, MI 49224
Phone (517) 654-1020

14231 Beadle Lake Rd
Battle Creek, MI 49014
Phone (269) 704-5180

375 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 924-1605

1174 W Michigan Ave
Ste A
Marshall, MI 49068
Phone (269) 558-0700

1174 W Michigan Ave
Ste B
Marshall, MI 49068
Phone (269) 789-4390

122 High St
Marshall, MI 49068
Phone (269) 781-3461

15217 W Michigan Ave
Marshall, MI 49068
Phone (269) 789-3873

203 Winston Dr
Marshall, MI 49068
Phone (269) 789-1670

215 E Mansion St
Ste 1D
Marshall, MI 49068
Phone (269) 781-7150

215 E Mansion St
Ste 3D
Marshall, MI 49068
Phone (269) 558-0702

401 E Michigan Ave
Marshall, MI 49068
Phone (269) 969-6099

202 N Main St
Olivet, MI 49076
Phone (269) 749-2131

Practitioners & affiliated clinicians

Practitioners 275

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 275

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1043660467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-781-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-781-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA E M BROWN CHARITABLE CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "POOLE III",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "269-789-3936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKLAWN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OAKLAWN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.