Primary Healthcare Michigan PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY HEALTHCARE MICHIGAN PLC

Practice address

5092 W Vienna Rd Ste G
Clio, MI 48420-2804

Phone

(810) 686-2212

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Pauline Aquino

Title

Owner

Phone

(810) 686-2212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1023521192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD STE G",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD STE G",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202804",
            "telephone_number": "810-686-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE MICHIGAN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-686-2212"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Perry, MD
• Marianne Margaret Pillow
• Alyssa Rachelle Pinkerton, LMT
• Andrew J Polcik
• John Michael Powell, RN
• Nicole Purves, PTA
• Megan Michelle Pyrett
• Racine & Ackley D.D.S., P.C.
• Paul J Racine, D.D.S
• Frank Gerard Radtke, D.D.S.

• Family Medicine Physician in Clio, MI
• Providers in Clio, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.