Christon Illia Dums, M.D.
Individual provider Active NPI Family Medicine Physician · Manistique, MI
NPI 1437376019 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1437376019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301085883 (MI)
- Practice address
- 7870W US Highway 2
Manistique, MI 49854-8992 - Phone
- (906) 341-3200
- Fax
- (906) 341-1878
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Schoolcraft Memorial Hospital
Practice addresses (Care Compare)
7870W US Hwy 2
Manistique, MI 49854-8992
Phone (906) 341-2153
Hospital & facility affiliations
- Schoolcraft Memorial Hospital
- Schoolcraft Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080805000629 | MI | Practitioner - Family Practice |
1456425776 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current |
Accepting new patients | |
| Schoolcraft Memorial Hospital | Current |
Accepting new patients | |
| DLP Marquette Physician Practices Inc | Family Medicine | Current |
Accepting new patients |
| Schoolcraft Memorial Hospital | Past | Accepting new patients |
Locations
7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301085883 | MI | Yes |
Addresses
Primary practice location
7870W US Highway 2
Manistique, MI 49854-8992
Mailing address
7870W US Highway 2
Manistique, MI 49854-8992
Phone (906) 341-3200
Other providers in Manistique, MI
- Community Home Medical Inc
- Carole Louise Cooper
- Ashley Couillard
- Thomas William Deroche
- Jason James Dougherty
- Allen Joseph Duyck
- Heide Erickson
- Gabrielle Flatt
- Jessica Lynn Flory-Whitmer
- Kelly S Freberg-Ash
All providers in Manistique, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.