Active NPI
Sara Eileen Eadie, D.O.
- Emergency Medicine Physician
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- AB31053220214
- Practice address
- 13355 E 10 Mile Rd
Warren, MI 48089-2048 - Phone
- (586) 759-7960
- NPI assigned
- Nov 11, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | AB31053220214 | MI | Primary |
Addresses
Primary practice location
13355 E 10 Mile Rd
Warren, MI 48089-2048
Mailing address
7 N Squirrel Rd
Auburn Hills, MI 48326-4002
Phone (248) 227-2252
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
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Sherman Blvd
Mercy Health
Muskegon, MI 49444-1849
Phone (231) 728-4601
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
- Trinity Health Grand Haven Hospital
- Mercy Health Lakeshore Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AB31053220214 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Michigan Observation Services PLLC | Current | Accepting new patients | |
| Lake Michigan Emergency Specialists, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Health Partners-Lakeshore, PLC | Emergency Medicine | Past | Accepting new patients |
Locations
1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
72 S State St
Shelby, MI 49455
Phone (231) 728-4601
Interoperability endpoints
- seadie23862@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Muskegon, MI
- NPI 1518626043
-
- Emergency Medicine Physician
- Muskegon, MI
- NPI 1124574520
-
- Emergency Medicine Physician
- Shelby, MI
- NPI 1346528460
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shelby, MI
- NPI 1285662981
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1851545255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 N SQUIRREL RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483264002",
"telephone_number": "248-227-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13355 E 10 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480892048",
"telephone_number": "586-759-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EADIE",
"first_name": "SARA",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "AB31053220214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.
- 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.