DR. MARK W LAY (NPI# 1003803313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003803313 |
| Entity Type | Individual |
| Full Name | DR. MARK W LAY |
| Credential | M.D. |
| Practice Address |
117 S Broadway St Cassopolis MI 49031-1242 |
| Practice Telephone | 2694450771 |
| Mailing Telephone | 2694450771 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301073557 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 31145 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 236771 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS IND BILLING # | LM073557 | 01 |
| MI | BCBS IND PIN # | 0803810311 | 01 |
| Street Address |
117 S BROADWAY ST |
| City | CASSOPOLIS |
| State | MI |
| Zip Code | 49031-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023158235 | Borgess Lee Memorial Hospital | Clinic/Center | 117 S Broadway St, Cassopolis, MI 49031-1242 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241196 | Mike Hewlett | Dentist | 261 M-62, Cassopolis, MI 49031 | 2016-08-28 |
| 1093802902 | Van Buren/cass District Health Department | Public Health or Welfare | 201 M-62 North, Cassopolis, MI 49031 | 2006-10-10 |
| 1992804637 | Jennifer Lee Deer | Social Worker | 960 State St, Cassopolis, MI 49031 | 2006-09-21 |
| 1174639728 | Lewis Cass Intermediate School District | Local Education Agency (LEA) | 61682 Dailey Road, Cassopolis, MI 49031 | 2006-08-23 |
| 1841293230 | Kathy Joy Emans | Social Worker | 960 E. State, Cassopolis, MI 49031 | 2005-05-31 |
| 1861981268 | Leslie Lakeman | Physical Therapist | 23770 Hospital St, Cassopolis, MI 49031 | 2018-05-02 |
| 1922554633 | Maureen Raj | Counselor | 261 M-62, Cassopolis, MI 49031 | 2016-09-01 |
| 1326047002 | John H. Foster | Family Medicine | 109 School St, Cassopolis, MI 49031-1023 | 2005-07-15 |
| 1639594054 | Crystal Dawn Payton | Nurse Practitioner | 109 School St, Cassopolis, MI 49031-1023 | 2014-02-21 |
| 1336358159 | Van Buren Cass District Public Health Department | Public Health or Welfare | 201 M 62, Cassopolis, MI 49031-1034 | 2007-05-21 |
| Find all providers in zip 49031 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047002 | John H. Foster | Family Medicine | 109 School St, Cassopolis, MI 49031-1023 | 2005-07-15 |
| 1134513377 | Andre Smyth | Family Medicine | 261 M 62, Cassopolis, MI 49031-1034 | 2015-03-25 |
| 1043326192 | Gina Laraine Smith | Family Medicine | 261 M 62, Cassopolis, MI 49031-1034 | 2006-08-22 |
| 1982677548 | Lakeland Immediate Care Center | Family Medicine | 261 M 62, Cassopolis, MI 49031-1034 | 2006-02-13 |
| 1154394724 | Neil R See | Family Medicine | 261 M 62, Cassopolis, MI 49031-1034 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | CASSOPOLIS |
| Zip Code | 49031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.