Individual provider Active NPI

Elizabeth Barron Madison, MD, MA

  • Obstetrics & Gynecology Physician
  • Petoskey, MI
National Provider Identifier
1780072454
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301511878 Issued in MI
Practice address
560 W Mitchell St Ste 210
Petoskey, MI 49770-2276
Phone
(231) 487-2340
NPI assigned
Jan 5, 2015
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301511878 MI Primary

Addresses

Primary practice location

560 W Mitchell St Ste 210
Petoskey, MI 49770-2276

Mailing address

560 W Mitchell St Ste 210
Petoskey, MI 49770-2276
Phone (231) 487-2340

Other names 1

  • Elizabeth Barron Former name

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
I20250219000262 MI Practitioner - Obstetrics/Gynecology 8729404611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Central Michigan College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

560 W Mitchell St
Suite 210
Petoskey, MI 49770-2276
Phone (231) 487-2340

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Dec 8, 2024 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000

560 W Mitchell St
Ste 210
Petoskey, MI 49770
Phone (231) 487-2340

Interoperability endpoints

  • Direct secure messaging: elizabeth.madison.1@26060.direct.athenahealth.com
  • Direct secure messaging: emadison654174@direct.hfhs.org

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 2

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1780072454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST STE 210",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702276",
            "telephone_number": "231-487-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST STE 210",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702276",
            "telephone_number": "231-487-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "ELIZABETH",
        "middle_name": "BARRON",
        "credential": "MD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301511878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BARRON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.