Ethan Dawson-Baglien, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5151015135 Issued in MI

Practice address

965 Wilson Rd RM A233
East Lansing, MI 48824-6410

Phone

(517) 353-4362

Fax

(517) 432-0927

NPI assigned

May 20, 2021

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

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

Specialty

Psychiatry

Education

Michigan State University College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hills and Dales General Hospital IncGroup PAC ID 8022910363, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edawsonbaglien182539@direct.covenanthealthcare.com

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

• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment Care Compare group NPD
• Hills & Dales General Hospital, Inc.

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD
• Hills & Dales General Hospital, Inc.

  • Psychiatry Physician
  • Cass City, MI
  • NPI 1952120859
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Care Compare affiliation
• Hills & Dales General Hospital, Inc.

  • Psychiatry Physician
  • Cass City, MI
  • NPI 1952120859

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1992370118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 WILSON RD RM A233",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246410",
            "telephone_number": "517-614-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 WILSON RD RM A233",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246410",
            "telephone_number": "517-353-4362",
            "fax_number": "517-432-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON-BAGLIEN",
        "first_name": "ETHAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5151015135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eboni R Davis
• John David Davis, DO
• Kendra Mariah Davis
• Om Dawani, M.D.
• Dawn Maccreery OD
• Ashley Day, PA
• Toriana Day
• Makailey Mae De Almeida, PMHNP
• Autumn De Silva
• Debbie Slater LMSW PLLC

• Psychiatry Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.