NPIMap

Individual provider Active NPI

Anthony E Marl, DO

  • Internal Medicine Physician
  • Charlotte, MI
National Provider Identifier
1689694671
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101015680 Issued in MI
Practice address
123 Lansing St.
Suite 3a
Charlotte, MI 48813
Phone
(517) 543-0600
Fax
(517) 543-9533
NPI assigned
Jul 20, 2006
Last updated
Jun 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101015680 MI Primary

Addresses

Primary practice location

123 Lansing St.
Suite 3a
Charlotte, MI 48813

Mailing address

123 Lansing St.
Suite 3a
Charlotte, MI 48813
Phone (517) 543-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000401 MI Practitioner - Internal Medicine 1153328232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Eaton HospitalGroup PAC ID 0042103509, 45 clinicians

Practice addresses (Care Compare)

123 Lansing St
Suite 2
Charlotte, MI 48813-1696
Phone (517) 543-9500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015680MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Jul 12, 2010 Accepting new patients
Sparrow Eaton Hospital Internal Medicine CurrentSince Jul 12, 2010 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

123 Lansing St
Ste 3A
Charlotte, MI 48813
Phone (517) 543-0600

123 Lansing St
Ste 3B
Charlotte, MI 48813
Phone (517) 541-5954

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

616 Meijer Dr
Ste 202
Charlotte, MI 48813
Phone (517) 543-7976

Interoperability endpoints

  • Direct secure messaging: amarl69027@sparrowdirecthie.org
  • Direct secure messaging: anthony.marl@hgb.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1689694671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LANSING ST.",
            "address_2": "SUITE 3A",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "48813",
            "telephone_number": "517-543-0600",
            "fax_number": "517-543-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING ST.",
            "address_2": "SUITE 3A",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "48813",
            "telephone_number": "517-543-0600",
            "fax_number": "517-543-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARL",
        "first_name": "ANTHONY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101015680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.