Individual provider Active NPI

William J Deaton, DO

  • Emergency Medicine Physician
  • Grand Haven, MI
National Provider Identifier
1336181981
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101015965 Issued in MI
Practice address
13872 128TH Ave
Grand Haven, MI 49417-9775
Phone
(616) 856-1264
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13267 WI
Emergency Medicine Physician 207P00000X 80964 MN
Emergency Medicine Physician 207P00000X 5101015965 MI Primary

Addresses

Primary practice location

13872 128TH Ave
Grand Haven, MI 49417-9775

Mailing address

13872 128TH Ave
Grand Haven, MI 49417-9775
Phone (616) 856-1264

Other practice location 1

98 Sherry Ave
Park Falls, WI 54552-1412
Phone (715) 762-2484

Other identifiers 8

IdentifierTypeStateIssuer
4878730MedicaidMI
4878650MedicaidMI
4878749MedicaidMI
0154111485OtherMIBCBS
4878678MedicaidMI
1598712390OtherMIGROUP NPI
4878758MedicaidMI
381360529OtherMITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060726000276 MI Practitioner - Emergency Medicine 0840203493 Reassigns benefits to 2 organizations
I20260128000038 WI Practitioner - Emergency Medicine 0840203493 Reassigns benefits to 9 organizations
I20260128002162 MN Practitioner - Emergency Medicine 0840203493 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Michigan Observation Services PLLCGroup PAC ID 3375938889, 30 clinicians

Practice addresses (Care Compare)

1500 E Sherman Blvd
Mercy Health
Muskegon, MI 49444-1849
Phone (231) 728-4601

Hospital & facility affiliations

  • Trinity Health Grand Haven Hospital Hospital, Grand Haven, MI, CCN 230174
  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
  • Sanford Thief River Falls Medical Center Hospital, Thief River Falls, MN, CCN 241381
  • Flambeau Hospital Hospital, Park Falls, WI, CCN 521325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80964MNMDEmergency Medicine Physician
13267WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Feb 2, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 2, 2026 Accepting new patients
Sanford Health Network North CurrentSince Jan 19, 2026 Accepting new patients
Cook County Hospital District CurrentSince Dec 24, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 2, 2026 Accepting new patients
Lake Michigan Observation Services PLLC CurrentSince Jan 1, 2022 Accepting new patients
Sanford Health Network North CurrentSince Jan 19, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 2, 2026 Accepting new patients
Lifecare Medical Center CurrentSince Dec 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 2, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 2, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Feb 2, 2026 Accepting new patients
Lake Michigan Emergency Specialists, PLLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 2, 2026 Accepting new patients
Flambeau Hospital Inc CurrentSince Feb 2, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 2, 2026 Accepting new patients
Sanford Health Network North CurrentSince Jan 19, 2026 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients

Locations

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

98 Sherry Ave
Park Falls, WI 54552
Phone (715) 762-2484

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 6

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1336181981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13872 128TH AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179775",
            "telephone_number": "616-856-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13872 128TH AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179775",
            "telephone_number": "616-856-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Sherry Ave",
            "address_purpose": "LOCATION",
            "city": "Park Falls",
            "state": "WI",
            "postal_code": "545521412",
            "country_code": "US",
            "telephone_number": "715-762-2484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEATON",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "13267",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "80964",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878730",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878650",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878749",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0154111485",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878678",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598712390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4878758",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "381360529",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.