Active NPI
Louis Richard Standiford, D.O.
- Emergency Medicine Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101024560
- Practice address
- 1234 Napier Ave
Lakeland Health-Gme
Saint Joseph, MI 49085-2112 - Phone
- (269) 982-4941
- NPI assigned
- Mar 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 5101024560 | MI | Primary |
Addresses
Primary practice location
1234 Napier Ave
Lakeland Health-Gme
Saint Joseph, MI 49085-2112
Mailing address
1316 W Detroit St
New Buffalo, MI 49117-1636
Phone (269) 720-7419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 W State Rd
2 Franciscan Beacon Hospital Icp
La Porte, IN 46350-5465
Phone (219) 575-6700
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (954) 939-5000
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet Hospital
- Franciscan Health Michigan City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101024560 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Physician Services PC | Current | Accepting new patients | |
| Clarksville Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Epmg Southwest Michigan PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
1010 W State Road 2
La Porte, IN 46350
Phone (219) 575-6640
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- lstandiford480771@direct.franciscanalliance.org
- lstandiford370312@direct.hfhs.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1316405103
-
- Emergency Medicine Physician
- Corydon, IN
- NPI 1023487154
-
- Internal Medicine Physician
- Corydon, IN
- NPI 1811629546
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1932561271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 W DETROIT ST",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491171636",
"telephone_number": "269-720-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 NAPIER AVE",
"address_2": "LAKELAND HEALTH-GME",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852112",
"telephone_number": "269-982-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDIFORD",
"first_name": "LOUIS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-25",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101024560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.