Active NPI
Lou Anne Dick, D.O.
- General Practice Physician
- Perrinton, MI
National Provider Identifier
1104144591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5101007483
- Practice address
- 4999 Skyline Dr
Perrinton, MI 48871-9671 - Phone
- (989) 682-4439
- NPI assigned
- May 10, 2010
- Last updated
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5101007483 | MI | Primary |
Addresses
Primary practice location
4999 Skyline Dr
Perrinton, MI 48871-9671
Mailing address
4999 Skyline Dr
Perrinton, MI 48871-9671
Phone (989) 682-4439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007483 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1104144591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4999 SKYLINE DR",
"city": "PERRINTON",
"state": "MI",
"postal_code": "488719671",
"telephone_number": "989-682-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4999 SKYLINE DR",
"city": "PERRINTON",
"state": "MI",
"postal_code": "488719671",
"telephone_number": "989-682-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "LOU",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101007483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrinton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.