Individual provider Active NPI

John C. Macmaster, D.O.

  • Family Medicine Physician
  • Harrisville, MI
National Provider Identifier
1831135045
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009518 Issued in MI
Practice address
177 N Barlow Rd
Harrisville, MI 48740-9607
Phone
(989) 736-8157
Fax
(989) 358-3762
NPI assigned
Jun 22, 2006
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 5101009518 MI Primary

Addresses

Primary practice location

177 N Barlow Rd
Harrisville, MI 48740-9607

Mailing address

PO Box 279
Lincoln, MI 48742-0279
Phone (989) 736-3020

Other identifiers 1

IdentifierTypeStateIssuer
1990647MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.macmaster.p1@direct.alcona.nextgenshare.com

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
I20110207000248 MI Practitioner - Family Practice 6406036565 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. Family Medicine CurrentSince Nov 15, 2021 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince Nov 15, 2021 Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

1185 US Highway 23 N
Alpena, MI 49707
Phone (989) 356-4049

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

11745 US Highway 23 S
Ossineke, MI 49766
Phone (989) 471-2156

Interoperability endpoints

  • Direct secure messaging: john.macmaster.p1@direct.alcona.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1831135045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "LINCOLN",
            "state": "MI",
            "postal_code": "487420279",
            "telephone_number": "989-736-3020",
            "fax_number": "989-736-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N BARLOW RD",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409607",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMASTER",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990647",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.macmaster.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "177 N Barlow Rd",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487409607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisville, MI

Sources for this page

Verify at the official NPI Registry.