Active NPI
Marla M Signs, D.O.
- Pediatrics Physician
- Petoskey, MI
National Provider Identifier
1487601548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101008677
- Practice address
- 2390 Mitchell Park Dr
Suite a
Petoskey, MI 49770-8965 - Phone
- (231) 487-2250
- Fax
- (231) 348-7972
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101008677 | MI | Primary |
Addresses
Primary practice location
2390 Mitchell Park Dr
Suite a
Petoskey, MI 49770-8965
Mailing address
2390 Mitchell Park Dr
Suite a
Petoskey, MI 49770-8965
Phone (231) 487-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4372560 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1487601548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 MITCHELL PARK DR",
"address_2": "SUITE A",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708965",
"telephone_number": "231-487-2250",
"fax_number": "231-348-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 MITCHELL PARK DR",
"address_2": "SUITE A",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708965",
"telephone_number": "231-487-2250",
"fax_number": "231-348-7972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGNS",
"first_name": "MARLA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101008677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4372560",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.