Active NPI
Dale R McCririe, DO
- Surgery Physician
- Hillsdale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DM010091
- Practice address
- 451 Hidden Meadows Dr
Ste 260
Hillsdale, MI 49242 - Phone
- (517) 437-5350
- Fax
- (517) 437-8328
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DM010091 | MI | Primary |
Addresses
Primary practice location
451 Hidden Meadows Dr
Ste 260
Hillsdale, MI 49242
Mailing address
451 Hidden Meadows Dr
Ste 260
Hillsdale, MI 49242
Phone (517) 437-5350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2893503 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DM010091 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsdale Community Health Center | Surgery | Current | Accepting new patients |
Locations
451 Hidden Meadows Dr
Ste 260
Hillsdale, MI 49242
Phone (269) 969-6196
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
451 Hidden Meadows Dr
Hillsdale, MI 49242
Phone (517) 437-0010
Interoperability endpoints
- dmccririe114975@direct.parkviewexchange.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hillsdale Hospital | Hospital | Corporate Director | Nov 9, 2010 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
Corporate Director
Organizations & group practices 1
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": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104835131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HIDDEN MEADOWS DR",
"address_2": "STE 260",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "49242",
"telephone_number": "517-437-5350",
"fax_number": "517-437-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HIDDEN MEADOWS DR",
"address_2": "STE 260",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "49242",
"telephone_number": "517-437-5350",
"fax_number": "517-437-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRIRIE",
"first_name": "DALE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "DM010091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2893503",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.