Individual provider Active NPI

Steven A Dosh, MD

  • Internal Medicine Physician
  • Escanaba, MI
National Provider Identifier
1790794253
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301041801 Issued in MI
Practice address
3409 Ludington St
Suite 203
Escanaba, MI 49829-4212
Phone
(906) 786-5707
Fax
(906) 789-4446
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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 4301041801 MI Primary

Addresses

Primary practice location

3409 Ludington St
Suite 203
Escanaba, MI 49829-4212

Mailing address

3409 Ludington St
Suite 203
Escanaba, MI 49829-4212
Phone (906) 786-5707

Other identifiers 2

IdentifierTypeStateIssuer
3177838MedicaidMI
110144741OtherMIRR MEDICARE GROUP#CC2139

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
I20100114000408 MI Practitioner - Internal Medicine 9830230713 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Internal Medicine CurrentSince Jun 1, 1995 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital CurrentSince Jun 1, 1995 Accepting new patients

Locations

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 203
Escanaba, MI 49829
Phone (906) 428-5403

126 S 25th St
#B
Escanaba, MI 49829
Phone (906) 233-9500

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1790794253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST",
            "address_2": "SUITE 203",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-786-5707",
            "fax_number": "906-789-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST",
            "address_2": "SUITE 203",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-786-5707",
            "fax_number": "906-789-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSH",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3177838",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#CC2139",
            "identifier": "110144741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.