Individual provider Active NPI

Eric Andrew Maki, M.D.

  • Family Medicine Physician
  • Ontonagon, MI
National Provider Identifier
1073607156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301078977 Issued in MI
Practice address
601 S 7TH St
Ontonagon, MI 49953-1448
Phone
(906) 884-8240
Fax
(906) 884-6130
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301078977 MI Primary

Addresses

Primary practice location

601 S 7TH St
Ontonagon, MI 49953-1448

Mailing address

601 S 7TH St
Ontonagon, MI 49953-1448
Phone (906) 884-8000

Other identifiers 4

IdentifierTypeStateIssuer
4336124MedicaidMI
EM078977OtherMIBLUE CROSS BLUE SHIELD
4336115MedicaidMI
4548037MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051229000350 MI Practitioner - Emergency MedicinePractitioner - Family Practice 8921020348 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baraga County Memorial Hospital Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Family Medicine Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073607156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 7TH ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531448",
            "telephone_number": "906-884-8000",
            "fax_number": "906-884-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 7TH ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531448",
            "telephone_number": "906-884-8240",
            "fax_number": "906-884-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "ERIC",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4336124",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "EM078977",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4336115",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4548037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontonagon, MI

Sources for this page

Verify at the official NPI Registry.