Active NPI
Elizabeth Paine, D.O
- Internal Medicine Physician
- Grand Ledge, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101024846
- Practice address
- 1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223 - Phone
- (517) 627-2181
- Fax
- (517) 622-1242
- NPI assigned
- May 11, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101024846 | MI | Primary |
Addresses
Primary practice location
1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223
Mailing address
425 W 5TH St
Medical Education
East Liverpool, OH 43920-2405
Phone (330) 386-2793
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
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Charlevoix Dr
Suite 100
Grand Ledge, MI 48837-2223
Phone (517) 627-2181
Hospital & facility affiliations
- Edward W Sparrow Hospital
- McLaren Greater Lansing
- University of Michigan Health - Sparrow Eaton
- Sparrow Ionia Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J. Smith MD PC | Current | Accepting new patients |
Locations
1035 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837
Phone (517) 622-6446
Interoperability endpoints
- epaine@fmom.directbygreenway.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Grand Ledge, MI
- NPI 1669523650
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1679929343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W 5TH ST",
"address_2": "MEDICAL EDUCATION",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439202405",
"telephone_number": "330-386-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 CHARLEVOIX DR STE 100",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372223",
"telephone_number": "517-627-2181",
"fax_number": "517-622-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINE",
"first_name": "ELIZABETH",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101024846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
- 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.