Olen Netteburg, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301511041 Issued in MI

Practice address

420 W High St
Dowagiac, MI 49047-1996

Phone

(269) 782-8681

NPI assigned

May 22, 2007

Last updated

May 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Loma Linda University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epmg Southwest Michigan PLLCGroup PAC ID 2769719236, 45 clinicians

Vituity-Michigan Health Services PCGroup PAC ID 9931635430, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
• Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: onetteburg2569360@epic00.corewelldirect.org

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.

• Epmg Southwest Michigan PLLC

  • Emergency Medicine Physician
  • Saint Joseph, MI
  • NPI 1316405103
  Medicare reassignment Care Compare group NPD
• Vituity-Michigan Health Services PC

  • Emergency Medicine Physician
  • Kalamazoo, MI
  • NPI 1750102323
  Medicare reassignment Care Compare group NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1912687328
  Medicare reassignment NPD
• Vituity-Michigan Health Services PC

  • Emergency Medicine Physician
  • Marshall, MI
  • NPI 1962223545
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beacon Dowagiac, Inc

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Care Compare affiliation
• Lakeland Community Hospital Watervliet

  dba Corewell Health Watervliet Hospital

  • General Acute Care Hospital
  • Watervliet, MI
  • NPI 1700994845
  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1194934547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WOODLAND TER",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268748",
            "telephone_number": "610-698-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W HIGH ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471996",
            "telephone_number": "269-782-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTEBURG",
        "first_name": "OLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301511041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline Morss
• Erin Mosher, DDS
• Stephanie Lynn Munson, A.T.,C.
• Hollie Nate, PA
• Precious Ndlovu, PHARMD
• Deena Lucille Noggle, R.D.H.
• Michael Allen Oisten, PHARMD
• Thomas Akinyi Ongwela
• Claudine Marie Osborne, RPH
• Gregory N Otto, PT

• Emergency Medicine Physician in Dowagiac, MI
• Providers in Dowagiac, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.