Michigan Emergency Physicians LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MICHIGAN EMERGENCY PHYSICIANS LLP

Practice address

515 Quarter St
Gladwin, MI 48624-1959

Phone

(989) 426-9286

Fax

(989) 246-6400

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Derik K King, MD

Title

LLP Managing Partner

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Michigan Emergency Physicians LLP

  • Emergency Medicine Physician
  • Clare, MI
  • NPI 1174810238

  O20090424000283

  Same enrollment
• Michigan Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1770820953

  O20090424000283

  Same enrollment
• Michigan Emergency Physicians LLP

  • Hospitalist Physician
  • Three Rivers, MI
  • NPI 1992017107

  O20090424000283

  Same enrollment
• Michigan Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Three Rivers, MI
  • NPI 1205075074

  O20090424000283

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Beaudoing, DO

  • Family Medicine Physician
  • Clare, MI
  • NPI 1639154768

  Emergency Medicine

  NPD
• Eli A Osman, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1912269663
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1437390754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DRIVE",
            "address_2": "SUITE 1122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751122",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241959",
            "telephone_number": "989-426-9286",
            "fax_number": "989-246-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN EMERGENCY PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LLP MANAGING PARTNER",
        "authorized_official_telephone_number": "866-916-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437390754",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700G500040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda McQuarter
• Jeffrey R McReynolds, CNMT
• Destiney Rose McWilliams
• Trisha Ann Meier, COTAL
• Sara Marie Miceli-Sorensen, LMSW
• Mid Michigan Diagnostic Corp
• Mid-Michigan Dental Associates PLC Gladwin
• Midland Radiology Associates PC
• Midmichigan Cardiology, PC
• Midmichigan Gladwin Pines

• Emergency Medicine Physician in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.