Edward Mark Lichten, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

EL040270 Issued in MI

Practice address

555 S Old Woodward Ave
Suite 700
Birmingham, MI 48009-6658

Phone

(248) 593-9999

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Edward M Lichten MD PC

  • Gynecology Physician
  • Birmingham, MI
  • NPI 1174562524
  NPD (past) Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1346352382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S OLD WOODWARD AVE",
            "address_2": "SUITE 700",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096658",
            "telephone_number": "248-420-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S OLD WOODWARD AVE",
            "address_2": "SUITE 700",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096658",
            "telephone_number": "248-593-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTEN",
        "first_name": "EDWARD",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "EL040270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lauren Les
• Fran Levin, LMSW
• Levine Laser Center, PLLC
• Raven Lewis
• Adriana Liburdi, LMSW
• Nancy Cullen Liebler, PHD
• Lifework Family & Trauma Counseling PC
• Lifework Family Counseling, Inc
• Jeanette L Lillystone, CTRS
• Linda Aardema Psy S PLLC

• Gynecology Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.