Paul Joseph Antal, M.D.
Individual provider Active NPI Family Medicine Physician · Manistee, MI
NPI 1295845469 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295845469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301069804 (MI)
- Practice address
- 72 Filer St
Manistee, MI 49660-2717 - Phone
- (231) 723-5600
- Fax
- (231) 723-1048
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeshore Family Care PC
Practice addresses (Care Compare)
72 Filer St
Manistee, MI 49660-2717
Phone (231) 723-5600
Hospital & facility affiliations
- Munson Home Care
- Munson Healthcare Manistee Hospital
- Corewell Health Ludington Hospital
- Munson Healthcare Cadillac Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040612000191 | MI | Practitioner - Family Practice | 3072596683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Family Care, PC | Family Medicine | Current |
Accepting new patients |
| West Shore Health Centers Corporation | Past | Accepting new patients | |
| West Shore Health Centers Corporation | Past | Accepting new patients |
Locations
1505 E Parkdale Ave
Manistee, MI 49660
Phone (231) 723-2543
72 Filer St
Manistee, MI 49660
Phone (231) 397-1903
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBACBA/Endpoint/BBACBA
- paul.antal@lfcpc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301069804 | MI | Yes |
Addresses
Primary practice location
72 Filer St
Manistee, MI 49660-2717
Mailing address
72 Filer St
Manistee, MI 49660-2717
Phone (231) 723-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3353612 | Medicaid | MI |
Other providers in Manistee, MI
- Amy L Beeman DO PLLC
- Kimberly S. Anderson
- Melda Louise Anderson
- Mitchell David Anderson
- Andrew S Riemer DO PC
- Tina Argue
- Taylor Babashka
- Baldwin Family Health Care
- Kevin Ballmer
- Erin Elizabeth Barbus
All providers in Manistee, MI · Family Medicine 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 Jul 8, 2007. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.