Individual provider Active NPI

Alyce Carter Metoyer, D.O.

  • Adult Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1962713982
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
5101015666 Issued in MI
Practice address
110 W Higham St
Saint Johns, MI 48879-1559
Phone
(989) 224-0646
Fax
(989) 224-0929
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 5101015666 MI Primary

Addresses

Primary practice location

110 W Higham St
Saint Johns, MI 48879-1559

Mailing address

110 W Higham St
Saint Johns, MI 48879-1559
Phone (989) 224-0646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1962713982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HIGHAM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791559",
            "telephone_number": "989-224-0646",
            "fax_number": "989-224-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W HIGHAM ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791559",
            "telephone_number": "989-224-0646",
            "fax_number": "989-224-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METOYER",
        "first_name": "ALYCE",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "5101015666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.