Active NPI
Michael Allen Marowelli
- Durable Medical Equipment & Medical Supplies
- Grand Ledge, MI
National Provider Identifier
1295030914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 27-4412824
- Practice address
- 905 McDiarmid LN
Grand Ledge, MI 48837-2059 - Phone
- (517) 896-1160
- NPI assigned
- Jan 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 27-4412824 | MI | Primary |
Addresses
Primary practice location
905 McDiarmid LN
Grand Ledge, MI 48837-2059
Mailing address
905 McDiarmid LN
Grand Ledge, MI 48837-2059
Phone (517) 896-1160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27-4412824 | MI | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1295030914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 MCDIARMID LN",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372059",
"telephone_number": "517-896-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 MCDIARMID LN",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372059",
"telephone_number": "517-896-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROWELLI",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-12",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "27-4412824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.