Active NPI
Michael F Devlin, M.D.
- Anesthesiology Physician
- Oregon, OH
National Provider Identifier
1184627176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35-074601
- Practice address
- 2801 Bay Park Dr
Oregon, OH 43616-4920 - Phone
- (419) 690-7653
- Fax
- (419) 697-7726
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35-074601 | OH | Primary |
Addresses
Primary practice location
2801 Bay Park Dr
Oregon, OH 43616-4920
Mailing address
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7653
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000520891 | Other | OH | ANTHEM |
| 04097 | Other | OH | PARAMOUNT |
| 2111431 | Medicaid | OH | |
| 341881145-002 | Other | OH | MMO |
| 5186390 | Medicaid | MI | |
| P00404498 | Other | OH | RRMC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-074601 | OH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335744000000",
"number": "1184627176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 BAY PARK DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436164920",
"telephone_number": "419-690-7653",
"fax_number": "419-697-7726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BAY PARK DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436164920",
"telephone_number": "419-690-7653",
"fax_number": "419-697-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "MICHAEL",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2012-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-074601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000520891",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04097",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2111431",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "341881145-002",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5186390",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00404498",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
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- Tracy Dickerson, CRNA
- David Dixon, CRNA
- Vallabh Dogra, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.