Individual provider Active NPI

Martin T Lougen Jr., MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gaylord, MI
National Provider Identifier
1528133659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4301078120 Issued in MI
Practice address
825 N Center Ave
Gaylord, MI 49735-1592
Phone
(989) 731-2201
Fax
(989) 731-2205
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301078120 MI Primary

Addresses

Primary practice location

825 N Center Ave
Gaylord, MI 49735-1592

Mailing address

1950 Ashley LN
Gaylord, MI 49735-8118
Phone (989) 732-9390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000721 MI Practitioner - Emergency Medicine 0446210256 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians

Practice addresses (Care Compare)

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alma CurrentSince Dec 1, 2018 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center Alma CurrentSince Dec 1, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Oct 16, 2018 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Dec 1, 2018 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Dec 1, 2018 Accepting new patients
Hawk Emergency Group, P.C. CurrentSince Jul 24, 2024 Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Apr 1, 2023 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Apr 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009

4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: mlougen77571@mymichiganhealth.midirect.net

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 1

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528133659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ASHLEY LN",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358118",
            "telephone_number": "989-732-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351592",
            "telephone_number": "989-731-2201",
            "fax_number": "989-731-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGEN",
        "first_name": "MARTIN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301078120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.