Organization Active NPI

Maine Medical Center PLC

Doing business as Down East Medical Center

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1437453461
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301035080 Issued in MI
Legal business name
MAINE MEDICAL CENTER PLC
Doing business as
Down East Medical Center
Practice address
5555 Gull Rd
Suite 201
Kalamazoo, MI 49048-7640
Phone
(269) 385-2781
Fax
(269) 343-3450
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Dr. Donald C Doyle, M.D.
Title
Owner/Physican
Phone
(269) 385-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301035080 MI Primary

Addresses

Primary practice location

5555 Gull Rd
Suite 201
Kalamazoo, MI 49048-7640

Mailing address

5555 Gull Rd
Suite 201
Kalamazoo, MI 49048-7640
Phone (269) 385-2781

Other identifiers 1

IdentifierTypeStateIssuer
4232845 10MedicaidMI

Other names 1

  • Down East Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

5555 Gull Rd
Kalamazoo, MI 49048
Phone (269) 381-6157

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1437453461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GULL RD",
            "address_2": "SUITE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490487640",
            "telephone_number": "269-385-2781",
            "fax_number": "269-343-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GULL RD",
            "address_2": "SUITE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490487640",
            "telephone_number": "269-385-2781",
            "fax_number": "269-343-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE MEDICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICAN",
        "authorized_official_telephone_number": "269-385-2781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301035080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4232845 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Down East Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.