Organization Active NPI

Integrative Cardiovascular Health & Wellness

  • Public Health & General Preventive Medicine Physician
  • Petoskey, MI
National Provider Identifier
1043676661
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
INTEGRATIVE CARDIOVASCULAR HEALTH & WELLNESS
Practice address
3290 Woods Way
Petoskey, MI 49770-8694
Phone
(231) 348-3800
Fax
(231) 348-3804
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Andris Kazmers, M.D.NPI 1215991096
Title
Owner/President
Phone
(231) 881-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X MI Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X MI

Addresses

Primary practice location

3290 Woods Way
Petoskey, MI 49770-8694

Mailing address

3280 Woods Way Unit 3
Petoskey, MI 49770-8105
Phone (231) 348-3800

Other names 1

  • 4 Seasons Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161014000161 MI Part B Supplier - Clinic/Group Practice 8426346008 Receives reassigned benefits from 3 practitioners
Practice locations: Gaylord, MI

National Provider Directory

National Provider Directory

Locations

3250 Woods Way
Ste 9
Petoskey, MI 49770
Phone (231) 348-5590

3290 Woods Way
Petoskey, MI 49770
Phone (231) 348-3800

Practitioners & affiliated clinicians

Practitioners 4

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1043676661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WOODS WAY UNIT 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708105",
            "telephone_number": "231-348-3800",
            "fax_number": "231-348-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 WOODS WAY",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708694",
            "telephone_number": "231-348-3800",
            "fax_number": "231-348-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARDIOVASCULAR HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "KAZMERS",
        "authorized_official_first_name": "ANDRIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "231-881-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 Seasons Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.