Active NPI
Elizabeth Mackey, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 5101013017
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Michigan Emergency Physicians, LLP | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Family Medicine | Current | Accepting new patients |
| Northern Michigan Emergenc Physicians, LLP | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Dickinson County Healthcare System | Emergency Medical Services | Current | 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
- 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.
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Family Medicine
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- NPI 1922105113
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- Emergency Medicine Physician
- Battle Creek, MI
- NPI 1497789168
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- Emergency Medicine Physician
- Battle Creek, MI
- NPI 1952585465
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Ignace, MI
- NPI 1811152291
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.