Michelle Lee Whitford, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4301088600 Issued in MI

Practice address

100 Michigan St NE # MC-71
Grand Rapids, MI 49503-2560

Phone

(616) 391-5310

Fax

(616) 391-5343

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, WI2 enrollments

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 2

Specialty

Emergency Medicine

Education

Indiana University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Mymichigan Medical Center West BranchGroup PAC ID 7214251081, 75 clinicians

Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians

Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harbor Hospice Hospice, Muskegon, MI, CCN 231508
• Hospice of Mecosta County Hospice, Big Rapids, MI, CCN 231556
• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Thedacare Medical Center-Waupaca Hospital, Waupaca, WI, CCN 521334
• Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
• Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
• Regency at Fremont Nursing home, Fremont, MI, CCN 235176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwhitford330106@direct.thedacare.org
• Direct secure messaging: mwhitford437738@direct.emplifyhealth.org

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.

• Cep America LLC

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1912687328
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Alma

  • Emergency Medicine Physician
  • Alma, MI
  • NPI 1568914422
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Alpena

  • Emergency Medicine Physician
  • Alpena, MI
  • NPI 1508332792
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Clare

  • General Practice Physician
  • Clare, MI
  • NPI 1134394026
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607
  Medicare reassignment NPD
• Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1265976971
  Medicare reassignment NPD
• Ecs Western Michigan PC

  • Emergency Medicine Physician
  • Grand Rapids, MI
  • NPI 1992281000
  Medicare reassignment NPD
• Emergency Department Physicians, P.C.

  • Emergency Medicine Physician
  • Detroit, MI
  • NPI 1225083595
  Medicare reassignment NPD
• Thedacare Medical Center - Waupaca, Inc.

  • Emergency Medicine Physician
  • Waupaca, WI
  • NPI 1780782680
  Medicare reassignment NPD
• Thedacare Medical Center - Waupaca, Inc.

  • Critical Access Hospital
  • Waupaca, WI
  • NPI 1710333893
  Medicare reassignment
• Vernon Memorial Healthcare, Inc.

  • Critical Access Hospital
  • Viroqua, WI
  • NPI 1497750921
  Medicare reassignment

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

• Fremont Healthcare LLC

  • Skilled Nursing Facility
  • Fremont, MI
  • NPI 1942248836

  Nursing home

  Care Compare affiliation
• Hospice of Michigan, Inc.

  • Community Based Hospice Care Agency
  • Big Rapids, MI
  • NPI 1497790323
  Care Compare affiliation
• Hospice of Muskegon County, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Muskegon, MI
  • NPI 1740283787
  Care Compare affiliation
• Mymichigan Medical Center Alma

  • General Acute Care Hospital
  • Alma, MI
  • NPI 1023097771
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1619791431
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Alpena, MI
  • NPI 1619914652
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1942302302

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation
• Thedacare Medical Center - Waupaca, Inc.

  • Critical Access Hospital
  • Waupaca, WI
  • NPI 1013995521
  Care Compare affiliation
• Thedacare Medical Center - Waupaca, Inc.

  • Critical Access Hospital
  • Waupaca, WI
  • NPI 1710333893
  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1740490200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC-845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-391-5310",
            "fax_number": "616-391-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC-71",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-391-5310",
            "fax_number": "616-391-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITFORD",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "72214",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2011-0109",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "13667",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301088600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740490200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitelotus LLC
• Lisa Whiteside
• Chassady Mone Whitfield
• Latasia Y Whitfield, CNA
• Angela Marie Whitford, PA
• Roshawn Nichol Whitley
• Amanda M Whitlock, MSPT
• Janiya Whitman
• Aimee C Whitmer, PA
• Natalie Claire Whitmer

• Emergency Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.

Verify at the official NPI Registry.