Active NPI
Maine Medical Center PLC
Doing business as Down East Medical Center
- Family Medicine Physician
- Kalamazoo, MI
National Provider Identifier
1437453461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301035080
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4232845 10 | Medicaid | MI |
Other names 1
- Down East Medical Center
National Provider Directory
National Provider DirectoryLocations
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.