Individual provider Active NPI

Eric Merrill Sweterlitsch, MD

  • Cardiovascular Disease Physician
  • Bay City, MI
National Provider Identifier
1962426213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ES067377 Issued in MI
Practice address
200 S Wenona St Ste G94
Bay City, MI 48706-8833
Phone
(989) 893-3392
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ES067377 MI Primary

Addresses

Primary practice location

200 S Wenona St Ste G94
Bay City, MI 48706-8833

Mailing address

200 S Wenona St Ste G94
Bay City, MI 48706-8833
Phone (989) 893-3392

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
I20070620000315 MI Practitioner - Cardiovascular Disease (Cardiology) 2668571407 Practice locations: Essexville, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ES067377MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Therapeutics, LLC PastSince Jan 5, 2015 Accepting new patients
McLaren Bay Region Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962426213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST STE G94",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068833",
            "telephone_number": "989-893-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST STE G94",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068833",
            "telephone_number": "989-893-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWETERLITSCH",
        "first_name": "ERIC",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "ES067377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.