Individual provider Active NPI

Michael S Chen, DO

  • Emergency Medicine Physician
  • Monroe, MI
National Provider Identifier
1184729683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101015708 Issued in MI
Practice address
718 N Macomb St
Monroe, MI 48162-7815
Phone
(734) 240-8414
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Emergency Medicine Physician 207P00000X 5101015708 MI Primary

Addresses

Primary practice location

718 N Macomb St
Monroe, MI 48162-7815

Mailing address

17384 Kingsbrooke Cir Apt 203
Clinton Township, MI 48038-3760

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
I20061109000435 MI Practitioner - Emergency Medicine 2365440161 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Midland Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Midland Emergency Medicine CurrentSince Feb 4, 2013 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 4, 2013 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Stat Care PC Past Accepting new patients
Statcare PC Emergency Medicine Past Accepting new patients
Obscare PC Emergency Medicine Past Accepting new patients
Monroe Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

Interoperability endpoints

  • Direct secure messaging: mchen7145@mymichiganhealth.midirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184729683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17384 KINGSBROOKE CIR APT 203",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627815",
            "telephone_number": "734-240-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.