Ella Em Brown Charitable Circle
Organization Active NPI Diagnostic Radiology Physician · Marshall, MI
NPI 1285082339 · NPPES record last updated May 16, 2025
Key facts
- NPI
- 1285082339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ELLA EM BROWN CHARITABLE CIRCLE
- Practice address
- 200 N Madison St
Marshall, MI 49068-1143 - Phone
- (269) 781-4271
- NPI assigned
- May 31, 2016
- Organization subpart
- No
Authorized official
- Name
- Andrew Poole III
- Title
- Cfo
- Phone
- (269) 789-3936
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 8
Member organizations 1
Practitioners 9
-
Mark A Booth, MD
-
Wassim Chehouri, D.O
-
Adam Edward Chornoby, D.O.
-
Aimee Louise Lemon, MSW
-
Waddah Saba, D.O.
-
Rachel Saeger, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040616001008 | MI | Part B Supplier - Clinic/Group Practice | 1254228745 |
Receives reassigned benefits from 197 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marshall, MI; Traverse City, MI; Rochester Hills, MI; Homer, MI; Coldwater, MI; Albion, MI |
National Provider Directory
- Tax ID family
- Oaklawn Hosp Int Med
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
200 N Madison St
Marshall, MI 49068-1143
Mailing address
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
Other practice location 1
215 E Mansion St Ste 2E
Marshall, MI 49068-1167
Phone (269) 789-3940
Other names
- OAKLAWN HOSPITAL
Other providers in Marshall, MI
- Ella E. M. Brown Charitable Circle
- Ella E. M. Brown Charitable Circle
- Ella E. M. Brown Charitable Circle
- Ella E.M. Brown Charitable Circle
- Ella E.M. Brown Charitable Circle
- Jeffrey Ellenstein
- Stacy Ellis
- Erich Heidenreich, DDS, PLLC
- Taina Estimable
- Sundos Fadel
All providers in Marshall, MI · Diagnostic Radiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.