Active NPI
Michael Max James, PA
- Physician Assistant
- Mancelona, MI
National Provider Identifier
1366473084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001224
- Practice address
- 419 W State St.
Mancelona, MI 49659 - Phone
- (231) 587-9181
- NPI assigned
- Jul 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001224 | MI | Primary |
Addresses
Primary practice location
419 W State St.
Mancelona, MI 49659
Mailing address
PO Box 769
Mancelona, MI 49659-0769
Phone (231) 587-9181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mancelona Family Practice | Past | Accepting new patients | |
| Mancelona Family Practice | Past | Accepting new patients | |
| Sarasota Emergency Associates PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Mancelona, MI
- NPI 1780157081
-
- Family Medicine Physician
- Mancelona, MI
- NPI 1891809349
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1831175306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1366473084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 769",
"city": "MANCELONA",
"state": "MI",
"postal_code": "496590769",
"telephone_number": "231-587-9181",
"fax_number": "231-587-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W STATE ST.",
"city": "MANCELONA",
"state": "MI",
"postal_code": "49659",
"telephone_number": "231-587-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "MICHAEL",
"middle_name": "MAX",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601001224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mancelona, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.