Individual provider Active NPI

Deborah Clare Margules, M.D.

  • Gynecology Physician
  • Grand Rapids, MI
National Provider Identifier
1447521109
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4301056138 Issued in MI
Practice address
1001 Medical Park Dr SE
Suite 112
Grand Rapids, MI 49546-3610
Phone
(616) 214-8944
Fax
(616) 214-8942
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 4301056138 MI Primary

Addresses

Primary practice location

1001 Medical Park Dr SE
Suite 112
Grand Rapids, MI 49546-3610

Mailing address

1001 Medical Park Dr SE
Suite 112
Grand Rapids, MI 49546-3610
Phone (616) 214-8944

Other names 1

  • Deborah Margules Eldridge Former name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301056138MIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woman Care OBGYN PLC PastSince Aug 1, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1447521109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PARK DR SE",
            "address_2": "SUITE 112",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463610",
            "telephone_number": "616-214-8944",
            "fax_number": "616-214-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PARK DR SE",
            "address_2": "SUITE 112",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463610",
            "telephone_number": "616-214-8944",
            "fax_number": "616-214-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGULES",
        "first_name": "DEBORAH",
        "middle_name": "CLARE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301056138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ELDRIDGE",
            "middle_name": "MARGULES",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.