Active NPI
Michael E Mayle, D.O.
- Family Medicine Physician
- Coloma, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101009859
- Practice address
- 6701 Paw Paw Ave
Coloma, MI 49038-9519 - Phone
- (269) 463-3600
- Fax
- (269) 463-0013
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 1, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101009859 | MI | Primary |
Addresses
Primary practice location
6701 Paw Paw Ave
Coloma, MI 49038-9519
Mailing address
6701 Paw Paw Ave
Coloma, MI 49038-9519
Phone (269) 463-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5110003 | Other | MI | BLUE CROSS BLUE SHIELD PIN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 S Ctr St
Hartford, MI 49057-1362
Phone (269) 463-3600
6701 Paw Paw Ave
Coloma, MI 49038-9519
Phone (269) 463-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Family Medicine | Current | Accepting new patients |
| Lakeland Community Hospital Watervliet | Family Medicine | Current | Accepting new patients |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Community Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Red Arrow Family Practice | Past | Accepting new patients |
Locations
6559 Paw Paw Ave
Coloma, MI 49038
Phone (269) 408-1660
6701 Paw Paw Ave
Coloma, MI 49038
Phone (269) 468-6430
7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
- mmayle3037@lakeland.midirect.net
Organizations & group practices 8
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.
-
dba Corewell Health Watervliet Hospital Primary Care - Hartford
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
Family Medicine
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- General Practice Physician
- Coloma, MI
- NPI 1457540908
-
dba Corewell Health Watervliet Hospital Primary Care - Coloma
- Rural Health Clinic/Center
- Coloma, MI
- NPI 1083710701
Family Medicine
-
dba Corewell Health Watervliet Hospital
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
dba Community Hospital OP Rehabilition
- Rehabilitation Hospital Unit
- Coloma, MI
- NPI 1124298021
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Watervliet Hospital
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1851403307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 PAW PAW AVE",
"city": "COLOMA",
"state": "MI",
"postal_code": "490389519",
"telephone_number": "269-463-3600",
"fax_number": "269-463-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 PAW PAW AVE",
"city": "COLOMA",
"state": "MI",
"postal_code": "490389519",
"telephone_number": "269-463-3600",
"fax_number": "269-463-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYLE",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101009859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PIN",
"identifier": "5110003",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coloma, MI
- Lakeland Community Hospital Watervliet (Corewell Health Watervliet Hospital Primary Care - Coloma)
- Lakeland Community Hospital Watervliet (Corewell Health Watervliet Hospital Gen Surgery)
- Lakeland Medical Practices (Family Care of Coloma Watervliet)
- Lakeland Medical Practices
- Aurora B Madanguit, MD
- Samuel Robert Miller, LMT
- Lori Mizwicki
- Moss Chiropractic Clinic P.C.
- David Earl Moss, DC
- Edwin Keith Newington, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.