NPIMap

Organization Active NPI

Marquette General Hospital, Inc.

Doing business as North Shore Internal Medicine

  • Internal Medicine Physician
  • Escanaba, MI
National Provider Identifier
1336163799
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068941 Issued in MI
Legal business name
MARQUETTE GENERAL HOSPITAL, INC.
Doing business as
North Shore Internal Medicine
Practice address
2420 1St Ave S
Escanaba, MI 49829-1309
Phone
(906) 786-1563
Fax
(906) 786-8914
NPI assigned
Jul 27, 2006
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mr. A. Gary Muller
Title
Chief Executive Officer
Phone
(906) 225-4821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301068941 MI Primary

Addresses

Primary practice location

2420 1St Ave S
Escanaba, MI 49829-1309

Mailing address

4602 Dept
Carol Stream, IL 60122-0021
Phone (906) 225-4821

Other identifiers 3

IdentifierTypeStateIssuer
CB9574OtherMIRAILROAD MEDICARE
CC6305OtherMIRAILROAD MEDICARE
0B11007OtherMIBLUE CROSS BLUE SHIELD GR

Other names 1

  • North Shore Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2420 1st Ave S
Escanaba, MI 49829
Phone (906) 786-1563

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1336163799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 DEPT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220021",
            "telephone_number": "906-225-4821",
            "fax_number": "906-225-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 1ST AVE S",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291309",
            "telephone_number": "906-786-1563",
            "fax_number": "906-786-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "A. GARY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "906-225-4821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301068941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB9574",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6305",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "0B11007",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.