Individual provider Active NPI

Michael Joseph McKay, N.P.

  • Nurse Practitioner
  • Taylor, MI
National Provider Identifier
1265449029
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
176149 Issued in MI
Practice address
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone
(313) 295-5007
NPI assigned
Aug 2, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 176149 MI Primary

Addresses

Primary practice location

10000 Telegraph Rd
Taylor, MI 48180-3330

Mailing address

38935 Ann Arbor Rd
Livonia, MI 48150-3397
Phone (734) 632-0175

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
I20041118000830 MI Practitioner - Nurse Practitioner 4486618469 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
176149MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC CurrentSince Sep 1, 2016 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Sep 1, 2016 Accepting new patients
Emergency Professionals of Michigan, P.C. CurrentSince Apr 1, 2015 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Sep 6, 2018 Accepting new patients
St Joseph Mercy Hospital Nurse Practitioner PastSince Nov 22, 2011 Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients
Epmg of Michigan, P.C. Nurse Practitioner PastSince Aug 4, 2024 Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1265449029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-632-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803330",
            "telephone_number": "313-295-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "176149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.