Maureen A McCarville, DO, FACEP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

5101011528 Issued in MI

Practice address

3401 Ludington St
Escanaba, MI 49829-1300

Phone

(906) 786-5707

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1063439693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "LOCKBOX 6900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756900",
            "telephone_number": "866-916-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291300",
            "telephone_number": "906-786-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARVILLE",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "credential": "DO, FACEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101011528",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "02169",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36073922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00344632",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063439693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Charlotte Martin, LMSW-CLINICAL
• Mary Claire Massi-Lee, B.S.W.
• Rebecca Mathieson
• Morgan Mattord, LLPC
• Jaime McCarthy, PT
• Brian McCusker
• Laura Kae Mead, SLP
• Meijer, Inc. (Meijer Pharmacy #294)
• Ashley M Meshigaud, D-PT
• Michael T Connor MD PC

• Emergency Medicine Physician in Escanaba, MI
• Providers in Escanaba, 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 18, 2008; 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.