NPIMap

Organization Active NPI

Opdyke Family Medical, P.C.

  • Family Medicine Physician
  • Auburn Hills, MI
National Provider Identifier
1013043306
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MK010353 Issued in MI
Legal business name
OPDYKE FAMILY MEDICAL, P.C.
Practice address
719 S Opdyke Rd
Auburn Hills, MI 48326-3436
Phone
(248) 333-2600
Fax
(248) 333-3250
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Matthew Frank Kulick, D.O.
Title
Doctor
Phone
(248) 333-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MK010353 MI Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X PH010351 MI

Addresses

Primary practice location

719 S Opdyke Rd
Auburn Hills, MI 48326-3436

Mailing address

719 S Opdyke Rd
Auburn Hills, MI 48326-3436
Phone (248) 333-2600

Other identifiers 2

IdentifierTypeStateIssuer
2802198MedicaidMI
2802189MedicaidMI

Other names 1

  • Springfield Family Medical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1013043306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-333-2600",
            "fax_number": "248-333-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-333-2600",
            "fax_number": "248-333-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPDYKE FAMILY MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-333-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MK010353",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "PH010351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802198",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802189",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.