Active NPI
Elizabeth RL Douce, MD
- Pediatrics Physician
- Stevensville, MI
National Provider Identifier
1679716583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301500518
- Practice address
- 5515 Cleveland Ave Ste 1
Stevensville, MI 49127-9670 - Phone
- (269) 429-6604
- Fax
- (269) 429-1715
- NPI assigned
- Apr 8, 2009
- 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 | 4301500518 | MI | Primary |
Addresses
Primary practice location
5515 Cleveland Ave Ste 1
Stevensville, MI 49127-9670
Mailing address
5515 Cleveland Ave Ste 1
Stevensville, MI 49127-9670
Phone (269) 429-6604
Other names 1
- Elizabeth Rachel Levine
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients |
Locations
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
5515 Cleveland Ave
Ste 1
Stevensville, MI 49127
Phone (269) 429-6604
Interoperability endpoints
- edouce1269200@epic00.corewelldirect.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1679716583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 CLEVELAND AVE STE 1",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279670",
"telephone_number": "269-429-6604",
"fax_number": "269-429-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 CLEVELAND AVE STE 1",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279670",
"telephone_number": "269-429-6604",
"fax_number": "269-429-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUCE",
"first_name": "ELIZABETH",
"middle_name": "RL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301500518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "LEVINE",
"middle_name": "RACHEL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stevensville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.