Individual provider Active NPI

Tricia Lawton

  • Physician Assistant
  • Mt Pleasant, MI
National Provider Identifier
1245634971
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007220 Issued in MI
Practice address
2853 Health Pkwy Ste a
Mt Pleasant, MI 48858-9375
Phone
(989) 779-5222
Fax
(989) 953-5153
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007220 MI Primary

Addresses

Primary practice location

2853 Health Pkwy Ste a
Mt Pleasant, MI 48858-9375

Mailing address

2853 Health Pkwy Ste a
Mt Pleasant, MI 48858-9375
Phone (989) 779-5222

Other names 1

  • Tricia Dubord Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209002435 MI Practitioner - Physician Assistant 6103148754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, 116 clinicians

Practice addresses (Care Compare)

1000 Cedar St
Houghton, MI 49931-1978
Phone (906) 487-1710

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

Hospital & facility affiliations

  • Up Health System Home Care and Hospice Portage Home health agency, Houghton, MI, CCN 237262
  • Aspirus Keweenaw Hospital and Clinics Hospital, Laurium, MI, CCN 231319
  • Up Health System Portage Hospital, Hancock, MI, CCN 230108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Mar 1, 2023 Accepting new patients
Aspirus Ontonagon Hospital, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

Interoperability endpoints

  • Direct secure messaging: tlawton196972@direct.aspirus.org

Organizations & group practices 3

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1245634971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PKWY STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589375",
            "telephone_number": "989-779-5222",
            "fax_number": "989-953-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PKWY STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589375",
            "telephone_number": "989-779-5222",
            "fax_number": "989-953-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWTON",
        "first_name": "TRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "DUBORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.