Organization Active NPI

Physician in-Home Services, PC

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1013939073
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LF034519 Issued in MI
Legal business name
PHYSICIAN IN-HOME SERVICES, PC
Practice address
1415 Broadway Blvd
Flint, MI 48506-3530
Phone
(810) 239-7684
Fax
(810) 239-4921
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Linval Keith Fleetwood, MD
Title
Owner/Physician
Phone
(810) 239-7684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X LF034519 MI Primary

Addresses

Primary practice location

1415 Broadway Blvd
Flint, MI 48506-3530

Mailing address

1415 Broadway Blvd
Flint, MI 48506-3530
Phone (810) 239-7684

National Provider Directory

National Provider Directory

Locations

4436 Beecher Rd
#G
Flint, MI 48532
Phone (810) 733-0290

512 BCH St
Flint, MI 48502
Phone (810) 629-4117

1415 Broadway Blvd
Flint, MI 48506
Phone (810) 235-2004

9856 Sarle Rd
Freeland, MI 48623
Phone (517) 692-0780

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1489851f-6448-4afb-9a0e-12d9d94aa987/

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1013939073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BROADWAY BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063530",
            "telephone_number": "810-239-7684",
            "fax_number": "810-239-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BROADWAY BLVD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063530",
            "telephone_number": "810-239-7684",
            "fax_number": "810-239-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN IN-HOME SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "FLEETWOOD",
        "authorized_official_first_name": "LINVAL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "810-239-7684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "LF034519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.