Active NPI
Dan Eviathar Orron, MD
- Vascular & Interventional Radiology Physician
- Marquette, MI
National Provider Identifier
1891734570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301079844
- Practice address
- 580 W College Ave
Marquette, MI 49855-2705 - Phone
- (906) 225-7808
- Fax
- (906) 225-7818
- NPI assigned
- Jun 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME90963 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301079844 | MI | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036107517 | IL |
Addresses
Primary practice location
580 W College Ave
Marquette, MI 49855-2705
Mailing address
2837 US 41 W
Marquette, MI 49855-2252
Phone (906) 225-3964
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E21024 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 02361984 | Medicaid | FL | |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| 036107517 | Medicaid | IL | |
| 206147080 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90963 | FL | MD | Vascular & Interventional Radiology Physician |
| 036107517 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes Radiology PLLC | Past | Accepting new patients | |
| F&S Radiology, P.C. | Past | Accepting new patients | |
| X-Ray, Inc. | Vascular & Interventional Radiology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Florida United Radiology LC | Past | Accepting new patients | |
| Boston Vascular Center, L.L.C. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Radiology Clinic/Center
- Braintree, MA
- NPI 1205865086
-
- Diagnostic Radiology Physician
- Sebring, FL
- NPI 1518299957
-
- Diagnostic Radiology Physician
- Hialeah, FL
- NPI 1619160538
-
- Diagnostic Radiology Physician
- Hornell, NY
- NPI 1710937727
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Vascular & Interventional Radiology Physician
- Lima, OH
- NPI 1417970542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1891734570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2837 US 41 W",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552252",
"telephone_number": "906-225-3964",
"fax_number": "906-226-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552705",
"telephone_number": "906-225-7808",
"fax_number": "906-225-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORRON",
"first_name": "DAN",
"middle_name": "EVIATHAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME90963",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301079844",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036107517",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "0E21024",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02361984",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "206147",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036107517",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "206147080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.