Active NPI
Physician in-Home Services, PC
- Family Medicine Physician
- Flint, MI
National Provider Identifier
1013939073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LF034519
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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
- 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
- Physician Coverage Services (michigan health specialist)
- Physician Coverage Services P.C. (michigan health specialist of grand blanc)
- Physician Coverage Services PC (Michigan Health Specialist)
- Physician Coverage Services PC (Michigan Health Specialist)
- Physician Coverage Services, PC (Hill Rd Urgent Care Center)
- Physicians Wellness Group
- Allison J Piatt, ACNP-BC
- Kathleen Pickard, LLBSW
- Sherry Lee Pickett, CPS
- Anne M. Pidek, LMSW
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.