Individual provider Active NPI

Elizabeth Mackey, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Iron Mountain, MI
National Provider Identifier
1912923814
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
5101013017 Issued in MI
Practice address
1711 S Stephenson Ave Ste 210
Iron Mountain, MI 49801-3649
Phone
(906) 776-5800
Fax
(906) 228-0200
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013017 MI
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 5101013017 MI
Occupational Medicine Physician 2083X0100X 5101013017 MI
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 5101013017 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave Ste 210
Iron Mountain, MI 49801-3649

Mailing address

PO Box 549
Iron Mountain, MI 49801-0549
Phone (906) 774-1313

Other practice location 1

300 North Ave
Battle Creek, MI 49016
Phone (269) 963-5048

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000962 MI Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Undersea and Hyperbaric Medicine 5294793360 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Emergency Physicians, LLP CurrentSince Sep 24, 2022 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Mackinac Straits Health System Inc Family Medicine Current Accepting new patients
Northern Michigan Emergenc Physicians, LLP CurrentSince Sep 24, 2022 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Dickinson County Healthcare System Emergency Medical Services CurrentSince Jul 1, 2015 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Battle Creek Emergency Physicians, PC Past Accepting new patients
Emergency Medicine Physicians of Vanderburgh County, PC Past Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Calhoun County Emergency Physicians PC Past Accepting new patients

Locations

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

1707 S Stephenson Ave
Ste 102
Iron Mountain, MI 49801
Phone (906) 776-5960

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1711 S Stephenson Ave
Ste 210
Iron Mountain, MI 49801
Phone (906) 776-5800

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: elizabeth.mackey@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1912923814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498010549",
            "telephone_number": "906-774-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE STE 210",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013649",
            "telephone_number": "906-776-5800",
            "fax_number": "906-228-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 North Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "49016",
            "country_code": "US",
            "telephone_number": "269-963-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013017",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MI",
            "license": "5101013017",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "5101013017",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "5101013017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.