Active NPI
Jonathan Patrick Egle, M.D.
- Surgery Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301094031
- Practice address
- 16001 W 9 Mile Rd
Southfield, MI 48075-4818 - Phone
- (248) 367-2440
- NPI assigned
- Jul 14, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301094031 | MI | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Mailing address
25460 Saint James
Southfield, MI 48075-1247
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Pathology Assoc of Southwestern Michigan, PC | Current | Accepting new patients |
Locations
7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318
6559 Paw Paw Ave
Coloma, MI 49038
Phone (269) 408-1660
42 N Saint Joseph Ave
Ste 100
Niles, MI 49120
Phone (269) 684-6696
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- jegle1545181@epic00.corewelldirect.org
- jegle30600@lakeland.midirect.net
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Joseph, MI
- NPI 1043228786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1346470176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25460 SAINT JAMES",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480751247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-367-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLE",
"first_name": "JONATHAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301094031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.