Maureen E Doull, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301059135 Issued in MI

Practice address

560 W Mitchell St
Petoskey, MI 49770-2278

Phone

(231) 487-2460

Fax

(231) 487-6596

NPI assigned

Jul 1, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881691095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702278",
            "telephone_number": "231-487-2460",
            "fax_number": "231-487-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702278",
            "telephone_number": "231-487-2460",
            "fax_number": "231-487-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOULL",
        "first_name": "MAUREEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104116695",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R Doctor, D.D.S., M.S.
• Andrea Donahoe, LLMSW
• John Patrick Doody, CADC
• Alexander Dennis Doubek, DO
• James A Doull III, M.D.
• John Jason Douthit Sr.
• Paul Arthur Dowsett, M.D.
• Joelle Lyn Drader, M.D., M.A., L.P.C.
• Tanya Drinkall
• Johnna Lorie Driscoll, DDS

• Internal Medicine Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.