NPIMap

Individual provider Active NPI

Lowell Lamar Styer, M.D.

  • Family Medicine Physician
  • Sault Sainte Marie, MI
National Provider Identifier
1528051703
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MI048380 Issued in MI
Practice address
2864 Ashmun St
Sault Sainte Marie, MI 49783-3740
Phone
(906) 632-5200
Fax
(906) 632-5276
NPI assigned
Aug 23, 2005
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MI048380 MI Primary

Addresses

Primary practice location

2864 Ashmun St
Sault Sainte Marie, MI 49783-3740

Mailing address

2864 Ashmun St
Sault Sainte Marie, MI 49783-3740
Phone (906) 632-5200

Other identifiers 3

IdentifierTypeStateIssuer
1749990MedicaidMI
0807015771OtherMIBLUE CROSS PROVIDER NUMBE
18 358-1OtherMIFAA EXAMINER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000064 MI Practitioner - Family Practice 4981633369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sault Tribe of Chippewa IndiansGroup PAC ID 7012982937, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

2864 Ashmun St
Sault S Marie, MI 49783-3740
Phone (906) 632-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MI048380MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients
Sault Tribe of Chippewa Indians Current Accepting new patients

Locations

2864 Ashmun St
Sault South Marie, MI 49783
Phone (906) 632-5200

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1528051703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833740",
            "telephone_number": "906-632-5200",
            "fax_number": "906-632-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833740",
            "telephone_number": "906-632-5200",
            "fax_number": "906-632-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYER",
        "first_name": "LOWELL",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MI048380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1749990",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0807015771",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAA EXAMINER  NUMBER",
            "identifier": "18 358-1",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.