Active NPI
Partridge Family Physicians PC
- General Practice Physician
- Clinton TWP, MI
National Provider Identifier
1043422132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E06329 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0723019 | Partridge Family Physicians PC | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- davidginnebaugh@pfppc.allscriptsdirect.net
- 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.
-
- Cardiovascular Disease Physician
- Clinton Township, MI
- NPI 1932181559
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1306952767
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1245333848
-
- Cardiovascular Disease Physician
- Clinton Township, MI
- NPI 1891793360
Single Specialty
-
- Registered Nurse
- Clinton Township, MI
- NPI 1952667198
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.