Organization Active NPI

Partridge Family Physicians PC

  • General Practice Physician
  • Clinton TWP, MI
National Provider Identifier
1043422132
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PARTRIDGE FAMILY PHYSICIANS PC
Practice address
43201 Commons Drive
Clinton TWP, MI 48038
Phone
(586) 228-0780
Fax
(586) 228-1809
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Mrs. Tracy Cockream
Title
Biller
Phone
(586) 228-0780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

43201 Commons Drive
Clinton TWP, MI 48038

Mailing address

43201 Commons Drive
Clinton TWP, MI 48038
Phone (586) 228-0780

Other identifiers 1

IdentifierTypeStateIssuer
0E06329OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101012000612 MI Part B Supplier - Clinic/Group Practice 9830381607 Receives reassigned benefits from 4 practitioners
Practice locations: Clinton Township, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0723019Partridge Family Physicians PC43201 Commons Drive, Clinton TWP, MI 48038Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: davidginnebaugh@pfppc.allscriptsdirect.net
  • Direct secure messaging: timothyhorrigan@pfppc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1043422132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43201 COMMONS DRIVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-228-0780",
            "fax_number": "586-228-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43201 COMMONS DRIVE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-228-0780",
            "fax_number": "586-228-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTRIDGE FAMILY PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "COCKREAM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "586-228-0780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E06329",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.