Margarethe M Maciulis, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301056636 Issued in MI

Practice address

200 S Wenona St
Suite 260
Bay City, MI 48706

Phone

(989) 894-6040

Fax

(989) 892-3983

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689650103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WENONA AVE",
            "address_2": "SUITE 260",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-894-6040",
            "fax_number": "989-892-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "SUITE 260",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-894-6040",
            "fax_number": "989-892-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIULIS",
        "first_name": "MARGARETHE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301056636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCR & BCN",
            "identifier": "1100910591",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2665811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shardavia Lyte
• Scott R Macdonald
• Stella Rhoda Macheso, DNP, ACCNS-AG
• Jordan Maciejewski, OT
• Algimantas P Maciulis, MD
• Travis William Maggart Jr.
• Emily Maggio, M.A., CCC-SLP
• Lalit Mahajan, RPH
• Jenna M Mahar
• Jordyn Ann Mahar

• Endocrinology, Diabetes & Metabolism Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.