Augustin Dolorfino, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301406733 Issued in MI

Practice address

520 Cobb St
Cadillac, MI 49601-2588

Phone

(231) 775-6521

Fax

(231) 876-6519

NPI assigned

May 27, 2005

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wexford Medical Group

  dba Great Lakes Family Care

  • Family Medicine Physician
  • McBain, MI
  • NPI 1508950767
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1962405670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LAKEWOOD DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018502",
            "telephone_number": "231-878-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-876-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLORFINO",
        "first_name": "AUGUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301406733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "4085098",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH BILLING",
            "identifier": "19788",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4085098",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED CHOICE BILLING",
            "identifier": "120877",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BILLING NUMBER",
            "identifier": "AD406733",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Diffin Ball, COTA/L
• Cheryl Lynn Dise, RDH
• Linda A Dishman, MSW
• David Arthur Diver, PT
• Hannah Pomeroy Dobrzelewski, DPM
• Douglas Schneider OD PC (Pearle Vision)
• Brandon Dowell
• Chelsey Jean Downer, FNP-C
• Brian Richard Drabik, D.O.
• Nicole Draper

• Pediatrics Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.