Mari Elizabeth Douma, D.O

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101012036 Issued in MI

Practice address

7201 Saginaw St
Ste 202
Lansing, MI 48917

Phone

(517) 321-7711

Fax

(517) 321-7799

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mari.douma.p1@direct.ichd.nextgenshare.com

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.

• Edward W. Sparrow Hospital Association

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1831139088
  Medicare reassignment NPD
• Michigan State University

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1861443269
  Medicare reassignment NPD
• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment NPD
• Edward W Sparrow Hospital Association

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438
  NPD
• Michigan State University

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD
• Michigan State University

  • Pediatrics Physician
  • Okemos, MI
  • NPI 1326121179
  NPD
• Msu Health Care Inc.

  • Physical Therapist
  • East Lansing, MI
  • NPI 1689206419
  NPD
• County of Ingham

  • Federally Qualified Health Center (FQHC)
  • Lansing, MI
  • NPI 1568560308
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1871529511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B545 W FEE HALL",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488241315",
            "telephone_number": "517-353-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 SAGINAW ST",
            "address_2": "STE 202",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-321-7711",
            "fax_number": "517-321-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMA",
        "first_name": "MARI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101012036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3343877",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Dottei, PA
• Douglas E. Pugmire DO PLLC
• Tymathie Douglas
• Sophia Eleni Doukas
• Doulas of Lansing
• Aminata Doumbouya
• Lisa Doutherd, LLPC, BSW
• Heather E Dover, RDN
• Mary Louise Dowding-Harris, PA-C
• Lori Dowdy, MA

• Pediatrics Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.