Active NPI
Michael J McGilton, PA
- Physician Assistant
- Midland, MI
National Provider Identifier
1861592446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MM001277
- Practice address
- 4201 Campus Ridge Drive
Midland, MI 48640 - Phone
- (989) 839-1795
- Fax
- (989) 839-1785
- NPI assigned
- Sep 24, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MM001277 | MI | Primary |
Addresses
Primary practice location
4201 Campus Ridge Drive
Midland, MI 48640
Mailing address
4201 Campus Ridge Drive
Midland, MI 48640
Phone (989) 839-1795
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM001277 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1861592446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-839-1795",
"fax_number": "989-839-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-839-1795",
"fax_number": "989-839-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILTON",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "MM001277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.