Manuel R Chavarri, MD, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MC034224 Issued in MI

Legal business name

MANUEL R CHAVARRI, MD, PLLC

Practice address

108 S First Ave
Alpena, MI 49707-2812

Phone

(989) 354-8500

Fax

(989) 354-8200

NPI assigned

Jan 30, 2008

Last updated

Apr 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manuel R Chavarri, MD, FACE

Title

Owner

Phone

(989) 657-2925

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher F Gerling, MD

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1164441861
  NPD (past)
• Paul T Rajasekhar, M.D.

  • Psychiatry Physician
  • Alpena, MI
  • NPI 1699801027
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1013194182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S FIRST AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072812",
            "telephone_number": "989-354-8500",
            "fax_number": "989-354-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S FIRST AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072812",
            "telephone_number": "989-354-8500",
            "fax_number": "989-354-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL R CHAVARRI, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "CHAVARRI",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-657-2925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACE"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "MC034224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0P56870",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1923054",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MC034224",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL #",
            "identifier": "1100410341",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI  FOR MANUEL R. CHAVARRI, MD, FACE",
            "identifier": "1033102132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM  NEW PIN",
            "identifier": "1100410711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohit Mahajan, M.D.
• Stephanie Maida
• Jena Majid
• Alison Male, RN
• Jason David Malenfant
• Anne Marceau, FNP-BC
• Laura M Marcotte
• Amy Martin
• Carly Rose Martin
• Jaclyn Martinez, PA-C

• Medical Specialty Clinic/Center in Alpena, MI
• Providers in Alpena, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.