Individual provider Active NPI

Paul Joseph Antal, M.D.

  • Family Medicine Physician
  • Manistee, MI
National Provider Identifier
1295845469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301069804 Issued in MI
Practice address
72 Filer St
Manistee, MI 49660-2717
Phone
(231) 723-5600
Fax
(231) 723-1048
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301069804 MI Primary

Addresses

Primary practice location

72 Filer St
Manistee, MI 49660-2717

Mailing address

72 Filer St
Manistee, MI 49660-2717
Phone (231) 723-5600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000191 MI Practitioner - Family Practice 3072596683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 3274516877, 3 clinicians

Practice addresses (Care Compare)

72 Filer St
Manistee, MI 49660-2717
Phone (231) 723-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301069804MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Family Care, PC Family Medicine CurrentSince Jun 4, 1997 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBACBA/Endpoint/BBACBA
  • Direct secure messaging: paul.antal@lfcpc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295845469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 FILER ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602717",
            "telephone_number": "231-723-5600",
            "fax_number": "231-723-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FILER ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602717",
            "telephone_number": "231-723-5600",
            "fax_number": "231-723-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAL",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301069804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.