Active NPI
Michigan Emergency Physicians LLP
- Emergency Medicine Physician
- Clare, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MICHIGAN EMERGENCY PHYSICIANS LLP
- Practice address
- 703 N McEwan St
Clare, MI 48617-1440 - Phone
- (989) 802-5000
- Fax
- (989) 802-8800
- NPI assigned
- Jul 8, 2011
- Last updated
- Aug 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derik K King, M.D.
- Title
- Managing Partner
- Phone
- (239) 939-1717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
703 N McEwan St
Clare, MI 48617-1440
Mailing address
75 Remit Dr # 1122
Chicago, IL 60675-1122
Phone (866) 916-5259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174810238 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090424000283 | MI | Part B Supplier - Clinic/Group Practice | 7810045127 |
Receives reassigned benefits from 63 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hillsdale, MI |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Gladwin, MI
- NPI 1437390754
O20090424000283
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1770820953
O20090424000283
-
dba Michigan Hospitalist Physicians LLP
- Hospitalist Physician
- Three Rivers, MI
- NPI 1992017107
O20090424000283
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1205075074
O20090424000283
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1376560912
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1265747463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312502400000",
"number": "1174810238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DR # 1122",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751122",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N MCEWAN ST",
"city": "CLARE",
"state": "MI",
"postal_code": "486171440",
"telephone_number": "989-802-5000",
"fax_number": "989-802-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN EMERGENCY PHYSICIANS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-08",
"last_updated": "2011-08-05",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DERIK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "239-939-1717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174810238",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clare, MI
- Trisha Anne McMillan, PT
- Jessica Ann Melchi
- Mariah Michalak
- Michigan Anxiety and Depression Services
- Michigan Em-I Medical Services, PC
- Mid Michigan Family Eye Care PLLC (Mid Michigan Eye)
- Allan J Middleton, D.C.
- Daniel L Middleton, MD
- Midland Radiology Associates PC
- Midmichigan Home Health Services (MidMichigan Visiting Nurse Support Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.