Active NPI
Allen B Dunning, M.D.
- Surgery Physician
- Sault Sainte Marie, MI
National Provider Identifier
1831261833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301082728
- Practice address
- 550 Osborn Blvd
Suite 1006
Sault Sainte Marie, MI 49783-1899 - Phone
- (906) 632-3753
- Fax
- (906) 635-7872
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301082728 | MI | Primary |
Addresses
Primary practice location
550 Osborn Blvd
Suite 1006
Sault Sainte Marie, MI 49783-1899
Mailing address
550 Osborn Blvd
Suite 1006
Sault Sainte Marie, MI 49783-1899
Phone (906) 632-3757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4620416 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301082728 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Sault | Past | Accepting new patients | |
| Kevin Jon Lawson MD PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Sault Sainte Marie, MI
- NPI 1144300724
-
- Anatomic Pathology & Clinical Pathology Physician
- Sault Sainte Marie, MI
- NPI 1518819739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831261833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 OSBORN BLVD",
"address_2": "SUITE 1006",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831899",
"telephone_number": "906-632-3757",
"fax_number": "906-635-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 OSBORN BLVD",
"address_2": "SUITE 1006",
"city": "SAULT SAINTE MARIE",
"state": "MI",
"postal_code": "497831899",
"telephone_number": "906-632-3753",
"fax_number": "906-635-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNING",
"first_name": "ALLEN",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301082728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4620416",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sault Sainte Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.