Individual provider Active NPI

Michael E Mayle, D.O.

  • Family Medicine Physician
  • Coloma, MI
National Provider Identifier
1851403307
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101009859 Issued in MI
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 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

IdentifierTypeStateIssuer
5110003OtherMIBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000319 MI Practitioner - General Practice 1254496979 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Lakeland Community Hospital Watervliet Family Medicine Current Accepting new patients
Lakeland Community Hospital Watervliet Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince Aug 1, 2013 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 27, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Oct 27, 2022 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

  • FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.