Michael J. Combs, M.D.

Individual provider Active NPI Emergency Medicine Physician · Ripon, WI

NPI 1215998802 · NPPES record last updated Nov 10, 2020

Key facts

NPI
1215998802
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
30551 (WI)
Practice address
845 Parkside St
Ripon, WI 54971-8505
Phone
(920) 745-3440
Fax
(920) 745-7923
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
30551WIMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 30551 WI
Emergency Medicine Physician 207P00000X 30551 WI Yes

Addresses

Primary practice location

845 Parkside St
Ripon, WI 54971-8505

Mailing address

845 Parkside St
Ripon, WI 54971-8505
Phone (920) 745-3440

Other identifiers

IdentifierTypeStateIssuer
31649200MedicaidWI

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mcombs331672@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Other providers in Ripon, WI

All providers in Ripon, WI · Emergency Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.