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Organization Active NPI

DLP Marquette Physician Practices Inc

Doing business as Marquette Medical Clinic - Kingsford

  • Family Medicine Physician
  • Kingsford, MI
National Provider Identifier
1346598844
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DLP MARQUETTE PHYSICIAN PRACTICES INC
Doing business as
Marquette Medical Clinic - Kingsford
Practice address
800 East Blvd
Kingsford, MI 49802-4436
Phone
(906) 774-4000
Fax
(906) 774-0088
NPI assigned
Aug 15, 2012
Last updated
Mar 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DLP MARQUETTE PHYSICIAN PRACTICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

800 East Blvd
Kingsford, MI 49802-4436

Mailing address

800 East Blvd
Kingsford, MI 49802-4436
Phone (906) 774-4000

Other names 1

  • MARQUETTE MEDICAL CLINIC - KINGSFORD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121016000312 MI Part B Supplier - Clinic/Group Practice 9931359601 Receives reassigned benefits from 467 practitioners
33 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marquette, MI; Negaunee, MI; Newberry, MI; Escanaba, MI; Ontonagon, MI; Sault Sainte Marie, MI; Ternary, MI; Manistique, MI…

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

National Provider Directory

National Provider Directory
Part of
DLP Marquette Phys Prac LLC

Locations

107 W Main St
Marquette, MI 49855
Phone (906) 225-3988

Practitioners & affiliated clinicians

Practitioners 1

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": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741478400000",
    "number": "1346598844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024436",
            "telephone_number": "906-774-4000",
            "fax_number": "906-774-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST BLVD",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498024436",
            "telephone_number": "906-774-4000",
            "fax_number": "906-774-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP MARQUETTE PHYSICIAN PRACTICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DLP MARQUETTE PHYSICIAN PRACTICES INC",
        "enumeration_date": "2012-08-15",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARQUETTE MEDICAL CLINIC - KINGSFORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.