Active NPI
Martin T Lougen Jr., MD
- Emergency Medical Services (Emergency Medicine) Physician
- Gaylord, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301078120
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Michigan, PLLC | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Hawk Emergency Group, P.C. | Current | Accepting new patients | |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Mymichigan Medical Center Clare | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Clare | Current | 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
- 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.
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
-
- Emergency Medicine Physician
- Adrian, MI
- NPI 1568913473
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
-
- Urgent Care Clinic/Center
- Clare, MI
- NPI 1225081862
-
- Emergency Medicine Physician
- Clare, MI
- NPI 1962888180
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
-
- Emergency Medicine Physician
- West Branch, MI
- NPI 1649765454
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.