David Pastoor, MD
Individual provider Active NPI Family Medicine Physician · Montague, MI
NPI 1194771824 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1194771824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301053688 (MI)
- Practice address
- 4478 Dowling St
Montague, MI 49437-1201 - Phone
- (231) 894-4531
- Fax
- (231) 894-8158
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53688 | MI | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Michigan, Inc. | Past | Accepting new patients | |
| McLaren Caro Region | Past | Accepting new patients | |
| Lakeshore Emergency Solutions, PLLC | Past | Accepting new patients | |
| Shelby Emergency Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301053688 | MI | Yes |
Addresses
Primary practice location
4478 Dowling St
Montague, MI 49437-1201
Mailing address
5511 W US Highway 10
Ludington, MI 49431-2455
Phone (231) 843-1553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP053688 | Other | MI | LICENSE |
| P00727292 | Other | RAIL ROAD MEDICARE | |
| 5409154 | Medicaid | MI |
Other providers in Montague, MI
- Chloe McCollom
- Marisa McGlue
- Mikes Family Pharmacy Inc
- Morrison Transportation
- Northern Lights Family Medicine P. C.
- Blake Price
- Colin Thomas Rabach
- Rachel L Rager
- Minda Rosel
- Joshua Ryder
All providers in Montague, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.