Active NPI
DRC Cloud Care PLLC
- Pediatrics Physician
- Port Austin, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- DRC CLOUD CARE PLLC
- Practice address
- 3701 Port Austin Rd
Port Austin, MI 48467-9614 - Phone
- (989) 447-0309
- NPI assigned
- Nov 20, 2024
- Last updated
- Nov 20, 2024
- 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
- Charles Christensen, DO
- Title
- Owner
- Phone
- (989) 477-0903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
3701 Port Austin Rd
Port Austin, MI 48467-9614
Mailing address
3701 Port Austin Rd
Port Austin, MI 48467-9614
Phone (989) 447-0309
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2318479 | DRC Cloud Care PLLC | Certificate of waiver | Feb 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Port Austin, MI
- NPI 1518994011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1013732577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 PORT AUSTIN RD",
"city": "PORT AUSTIN",
"state": "MI",
"postal_code": "484679614",
"telephone_number": "989-447-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 PORT AUSTIN RD",
"city": "PORT AUSTIN",
"state": "MI",
"postal_code": "484679614",
"telephone_number": "989-447-0309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRC CLOUD CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-20",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-477-0903",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Austin, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.