Active NPI
Medical Arts Center
- Cardiovascular Disease Physician
- West Branch, MI
National Provider Identifier
1023006822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301037610
- Legal business name
- MEDICAL ARTS CENTER
- Practice address
- 2463 S M 30
West Branch, MI 48661-9312 - Phone
- (989) 345-0807
- Fax
- (989) 343-3107
- NPI assigned
- Oct 6, 2005
- 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
- Mr. Robert A I McGrail
- Title
- Chief Financial Officer
- Phone
- (989) 343-3107
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301030939 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 4301037610 | MI | Primary |
Addresses
Primary practice location
2463 S M 30
West Branch, MI 48661-9312
Mailing address
335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 345-0807
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1424045 | Medicaid | MI | |
| 2603087 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278892800000",
"number": "1023006822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486611127",
"telephone_number": "989-345-0807",
"fax_number": "989-343-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2463 S M 30",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619312",
"telephone_number": "989-345-0807",
"fax_number": "989-343-3107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2010-07-12",
"status": "A",
"authorized_official_last_name": "MCGRAIL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A I",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "989-343-3107",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301030939",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301037610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1424045",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2603087",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.