Individual provider Active NPI

Elizabeth A Palmer, M.D.

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1700813417
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301081976 Issued in MI
Practice address
Central Michigan University Health Services
Foust Hall 249
Mt Pleasant, MI 48859-0001
Phone
(959) 774-1748
Fax
(989) 774-4335
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301081976 MI Primary

Addresses

Primary practice location

Central Michigan University Health Services
Foust Hall 249
Mt Pleasant, MI 48859-0001

Mailing address

Central Michigan University Health Services
Foust Hall 249
Mt Pleasant, MI 48859-0001
Phone (959) 774-1748

Other identifiers 2

IdentifierTypeStateIssuer
P00350565OtherMIRAILROAD MEDICARE PTAN
0291176OtherMIBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000419 MI Practitioner - Family Practice 5395749980 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Dec 1, 2012 Accepting new patients
Saginaw Cooperative Hospitals, Inc Family Medicine CurrentSince Dec 1, 2012 Accepting new patients

Locations

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1700813417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES",
            "address_2": "FOUST HALL 249",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "959-774-1748",
            "fax_number": "989-774-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL MICHIGAN UNIVERSITY HEALTH SERVICES",
            "address_2": "FOUST HALL 249",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "959-774-1748",
            "fax_number": "989-774-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301081976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00350565",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0291176",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.