Active NPI
Avelina Oxholm-Dababneh, DO
- Family Medicine Physician
- Bad Axe, MI
National Provider Identifier
1356419675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101011566
- Practice address
- 1040 S Van Dyke
Suite 1
Bad Axe, MI 48413 - Phone
- (989) 269-6437
- Fax
- (989) 269-9162
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101011566 | MI | Primary |
Addresses
Primary practice location
1040 S Van Dyke
Suite 1
Bad Axe, MI 48413
Mailing address
1100 S Van Dyke
Bad Axe, MI 48413
Phone (989) 269-9521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70F326980 | Other | MI | BCBS |
Other names 1
- Avelina Oxholm
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
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521
Hospital & facility affiliations
- McLaren Thumb Region
- Scheurer Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 558 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101011566 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Pathology Services PC | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Thumb Region | Current | Accepting new patients | |
| McLaren Medical Group | Past | Accepting new patients | |
| Country Creek Family Medicine PLLC | Family Medicine | Past | Accepting new patients |
| McLaren Medical Group | Family Medicine | Past | Accepting new patients |
Locations
1040 S Van Dyke Rd
Ste 1
Bad Axe, MI 48413
Phone (989) 269-6432
1011 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-5258
1040 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-3923
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112
Organizations & group practices 7
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
- Bad Axe, MI
- NPI 1245257880
-
- Pulmonary Disease Physician
- Bad Axe, MI
- NPI 1265546899
-
- Critical Access Hospital
- Bad Axe, MI
- NPI 1518991744
-
- Rural Health Clinic/Center
- Port Austin, MI
- NPI 1558616086
-
- Family Medicine Physician
- Rochester, MI
- NPI 1790537041
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bad Axe, MI
- NPI 1518991744
-
- Critical Access Hospital
- Pigeon, MI
- NPI 1437102993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1356419675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S VAN DYKE",
"city": "BAD AXE",
"state": "MI",
"postal_code": "48413",
"telephone_number": "989-269-9521",
"fax_number": "989-269-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 S VAN DYKE",
"address_2": "SUITE 1",
"city": "BAD AXE",
"state": "MI",
"postal_code": "48413",
"telephone_number": "989-269-6437",
"fax_number": "989-269-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OXHOLM-DABABNEH",
"first_name": "AVELINA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101011566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "70F326980",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AVELINA",
"last_name": "OXHOLM",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.