Daniel R Smalley, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

5101009049 Issued in MI

Practice address

105 S Wildwood Crossing 20
Ludington, MI 49431-8719

Phone

(231) 233-1704

Fax

(231) 780-6090

NPI assigned

May 15, 2008

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Atrium Hillcrest LLC

  dba Hillcrest Nursing and Rehabilitation Community

  • Skilled Nursing Facility
  • North Muskegon, MI
  • NPI 1518965698

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824
  Medicare reassignment NPD
• Mi Pacs 2 PC

  • Hospitalist Physician
  • Northville, MI
  • NPI 1205418357
  Medicare reassignment NPD
• Michigan Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Brighton, MI
  • NPI 1669901567
  Medicare reassignment NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  MI

  Medicare reassignment NPD
• New Life Medical Senior Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Ludington, MI
  • NPI 1174800411
  NPD (past) Authorized official
• Atrium Hillcrest LLC

  dba Hillcrest Nursing and Rehabilitation Community

  • Skilled Nursing Facility
  • North Muskegon, MI
  • NPI 1518965698
  NPD (past)
• Atrium Roosevelt Park LLC

  dba Roosevelt Park Nursing and Rehabilitation Community

  • Skilled Nursing Facility
  • Muskegon, MI
  • NPI 1255339354
  NPD (past)
• County of Allegan

  dba Allegan County Medical Care Community

  • Skilled Nursing Facility
  • Allegan, MI
  • NPI 1457354268
  NPD (past)
• Deboer, Inc.

  dba Lake Woods Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Muskegon, MI
  • NPI 1326025776
  NPD (past)
• Lake County Care Center, Inc.

  dba grand oaks nursing center

  • Skilled Nursing Facility
  • Baldwin, MI
  • NPI 1073509261
  NPD (past)
• Senior Medical Corp. P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Hesperia, MI
  • NPI 1871677955
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1982871265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 WEALTHY ST SE",
            "address_2": "STE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063052",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WILDWOOD CROSSING 20",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494318719",
            "telephone_number": "231-233-1704",
            "fax_number": "231-780-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101009049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS009049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Simon
• Christina Marie Simone, RN, MS, FNP-BC
• Scott J Sitler, D.D.S.
• Julie Lynn Skupien, P.T.A.
• Caylee Skvarenina
• Matthew D Smekar, LPC
• Smith and Larson Family Dentistry, PLLC
• Jessica Smith, DDS
• Shannon Snider, LMSW
• Snug Harbor Adult Day Care Center

• Geriatric Medicine (Family Medicine) Physician in Ludington, MI
• Providers in Ludington, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.