Marvin Earl McElroy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301403219 Issued in MI

Practice address

1064 W West Branch Rd
Prudenville, MI 48651

Phone

(989) 366-4800

Fax

(989) 366-4832

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• General and Internal Medicine

  • Clinic/Center
  • Prudenville, MI
  • NPI 1376700294
  NPD (past) Authorized official

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1053381871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 W WEST BRANCH RD",
            "address_2": "PO BOX 268",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "48651",
            "telephone_number": "989-366-4800",
            "fax_number": "989-366-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 W WEST BRANCH RD",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "48651",
            "telephone_number": "989-366-4800",
            "fax_number": "989-366-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "MARVIN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301403219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2934910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "072988",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loney Chiropractic, PC
• Alyssa Loney
• Madelyn Rose Luke
• Corrie Jo Lundberg
• Brandi L Manville
• McGregor Chiropractic PC
• McGregor Chiropractic,LLC
• Daniel Martin McGregor, D.C.
• McLaren Bay Region
• McLaren Primary Care

• Internal Medicine Physician in Prudenville, MI
• Providers in Prudenville, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.