Active NPI
Michelle R Storms, MD
- Family Medicine Physician
- Marquette, MI
National Provider Identifier
1811988959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301077068
- Practice address
- 1401 Presque Isle Ave
Attn: Health Center
Marquette, MI 49855-2818 - Phone
- (906) 227-2355
- Fax
- (906) 227-2332
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301077068 | MI | Primary |
Addresses
Primary practice location
1401 Presque Isle Ave
Attn: Health Center
Marquette, MI 49855-2818
Mailing address
1401 Presque Isle Ave
Marquette, MI 49855-2818
Phone (906) 227-2355
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080159930 | Other | MI | RAILROAD MEDICARE |
| 4574055 | Medicaid | MI | |
| 4238179 | Medicaid | MI | |
| 4273060 | Medicaid | MI |
Other names 1
- Michelle R Storms-Van Howe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077068 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340496000000",
"number": "1811988959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 PRESQUE ISLE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552818",
"telephone_number": "906-227-2355",
"fax_number": "906-227-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PRESQUE ISLE AVE",
"address_2": "ATTN: HEALTH CENTER",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552818",
"telephone_number": "906-227-2355",
"fax_number": "906-227-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORMS",
"first_name": "MICHELLE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2012-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301077068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080159930",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4574055",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4238179",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4273060",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "STORMS-VAN HOWE",
"middle_name": "R",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.