Active NPI
Marquette General Hospital,Inc.
- Emergency Medicine Physician
- Marquette, MI
National Provider Identifier
1467419069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MARQUETTE GENERAL HOSPITAL,INC.
- Doing business as
- EMERGENCY MEDICINE ASSOCIATES OF MARQUETTE
- Practice address
- 420 W Magnetic St
Marquette, MI 49855-2711 - Phone
- (906) 225-4854
- Fax
- (906) 225-3370
- NPI assigned
- Apr 27, 2006
- 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
- Mr. A. Gary Muller
- Title
- Chief Executive Officer
- Phone
- (906) 225-4821
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
420 W Magnetic St
Marquette, MI 49855-2711
Mailing address
4602 Dept
Carol Stream, IL 60122-0021
Phone (906) 225-4821
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E26003 | Other | MI | BCBCM GROUP |
| CA7435 | Other | MI | RAILROAD MEDICARE |
| CE1809 | Other | MI | RAILROAD MEDICARE |
| G31351 | Other | MI | RAILROAD MEDICARE |
Other names 1
- EMERGENCY MEDICINE ASSOCIATES OF MARQUETTE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240444800000",
"number": "1467419069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 DEPT",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601220021",
"telephone_number": "906-225-4821",
"fax_number": "906-225-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W MAGNETIC ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552711",
"telephone_number": "906-225-4854",
"fax_number": "906-225-3370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUETTE GENERAL HOSPITAL,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2009-04-23",
"status": "A",
"authorized_official_last_name": "MULLER",
"authorized_official_first_name": "A. GARY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "906-225-4821",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBCM GROUP",
"identifier": "0E26003",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA7435",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE1809",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "G31351",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EMERGENCY MEDICINE ASSOCIATES OF MARQUETTE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marquette, MI
- Marquette General Hospital, Inc.
- Marquette General Hospital, Inc.
- Marquette General Hospital, Inc.
- Marquette General Hospital, Inc.
- Marquette General Hospital, Inc.
- Marquette General Hospital,Inc.
- Marquette General Hosptial-DLP
- Marquette Internal Medicine Associates, P.C.
- Marquette Medical Mindful Wellness
- Marquette Medical PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.