Active NPI
Michigan Emergency Physicians LLP
- Hospitalist Physician
- Three Rivers, MI
National Provider Identifier
1992017107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- MICHIGAN EMERGENCY PHYSICIANS LLP
- Practice address
- 701 South Health Parkway
Three Rivers, MI 49093-8352 - Phone
- (269) 278-1145
- Fax
- (269) 273-9611
- NPI assigned
- Jul 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derik K King, MD
- Title
- LLP Managing Partner
- Phone
- (866) 916-5259
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
701 South Health Parkway
Three Rivers, MI 49093-8352
Mailing address
75 Remit Dr # 1122
Chicago, IL 60675-1122
Phone (866) 916-5259
Other names 1
- Michigan Hospitalist Physicians LLP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medicine Physician
- Clare, MI
- NPI 1174810238
O20090424000283
-
- Emergency Medicine Physician
- Gladwin, MI
- NPI 1437390754
O20090424000283
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1770820953
O20090424000283
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1205075074
O20090424000283
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1457589053
-
- Family Medicine Physician
- Kalkaska, MI
- NPI 1275561474
-
- Family Medicine Physician
- Ann Arbor, MI
- NPI 1104994755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278374400000",
"number": "1992017107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DR # 1122",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751122",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SOUTH HEALTH PARKWAY",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-278-1145",
"fax_number": "269-273-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN EMERGENCY PHYSICIANS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DERIK",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "LLP MANAGING PARTNER",
"authorized_official_telephone_number": "866-916-5259",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michigan Hospitalist Physicians LLP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Three Rivers, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.