Active NPI
David Michael McCance, D.O.
- Gastroenterology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101007200
- Practice address
- 9302 Medical Plaza Dr
Suite B
Charleston, SC 29406-9142 - Phone
- (843) 553-8730
- Fax
- (843) 553-8767
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5101007200 | MI | Primary |
| Gastroenterology Physician | 207RG0100X | 1233 | SC |
Addresses
Primary practice location
9302 Medical Plaza Dr
Suite B
Charleston, SC 29406-9142
Mailing address
9302 Medical Plaza Dr
Suite B
Charleston, SC 29406-9142
Phone (843) 553-8730
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1404919 | Medicaid | MI | |
| 54600105 | Other | MI | BCBS-MI |
| 2909004 | Medicaid | MI |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007200 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| David Michael McCance, LLC | Gastroenterology | Past | Accepting new patients |
Locations
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
107 W Main St
Marquette, MI 49855
Phone (906) 225-3988
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.
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
dba Carolina Gastroenterology & Hepatology
- Gastroenterology Physician
- Charleston, SC
- NPI 1710113048
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1275639361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9302 MEDICAL PLAZA DR",
"address_2": "SUITE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069142",
"telephone_number": "843-553-8730",
"fax_number": "843-553-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9302 MEDICAL PLAZA DR",
"address_2": "SUITE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069142",
"telephone_number": "843-553-8730",
"fax_number": "843-553-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANCE",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101007200",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "SC",
"license": "1233",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1404919",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MI",
"identifier": "54600105",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2909004",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.