Active NPI
Michael G Webster, MD
- Family Medicine Physician
- Park Rapids, MN
National Provider Identifier
1659393239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24420
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- Fax
- (218) 732-2857
- NPI assigned
- Jul 24, 2006
- Last updated
- Dec 28, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24420 | MN | Primary |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 732-2800
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24420 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1659393239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 WASHINGTON AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013409",
"telephone_number": "218-732-2800",
"fax_number": "218-732-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 PLEASANT AVE S",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564701440",
"telephone_number": "218-732-2800",
"fax_number": "218-732-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "24420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Rapids, MN
- Walgreen Co (Walgreens #13903)
- Joshua Robert Wallenberg, DPT
- Walmart Inc. (Walmart Pharmacy 10-4244)
- Leah M Walters, RDLD/CDE
- Weber Dental Clinic, Inc. (Northwoods Dental)
- Tina Denaie Wedde, DNP, FNP-C, CNP
- Harold Franklin Wellman, COUNSELOR
- Wellness Matters LLC
- Rhea Wenschlag, PA-C
- Margaret A West, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.