Active NPI
William J Deaton, DO
- Emergency Medicine Physician
- Grand Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101015965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4878730 | Medicaid | MI | |
| 4878650 | Medicaid | MI | |
| 4878749 | Medicaid | MI | |
| 0154111485 | Other | MI | BCBS |
| 4878678 | Medicaid | MI | |
| 1598712390 | Other | MI | GROUP NPI |
| 4878758 | Medicaid | MI | |
| 381360529 | Other | MI | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Trinity Health Muskegon Hospital
- Sanford Thief River Falls Medical Center
- Flambeau Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80964 | MN | MD | Emergency Medicine Physician |
| 13267 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Medical Center | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Cook County Hospital District | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lake Michigan Observation Services PLLC | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Lake Michigan Emergency Specialists, PLLC | Emergency Medicine | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Epmg of Michigan, P.C. | Emergency Medicine | Past | 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Muskegon, MI
- NPI 1518626043
-
- Emergency Medicine Physician
- Muskegon, MI
- NPI 1124574520
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Critical Access Hospital
- Grand Marais, MN
- NPI 1487712493
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1386047355
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Critical Access Hospital
- Thief River Falls, MN
- NPI 1043218753
-
- Psychiatric Hospital
- Thief River Falls, MN
- NPI 1790842466
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1861895906
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.