Organization Active NPI

Ravi David Yarid DO PLLC

Doing business as Hillsdale Health and Wellness

  • Family Medicine Physician
  • Hillsdale, MI
National Provider Identifier
1053758748
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016264 Issued in MI
Legal business name
RAVI DAVID YARID DO PLLC
Doing business as
Hillsdale Health and Wellness
Practice address
12 E Bacon St
Hillsdale, MI 49242-1616
Phone
(517) 437-7040
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Ravi David Yarid, D.O.
Title
Owner
Phone
(517) 437-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101016264 MI Primary

Addresses

Primary practice location

12 E Bacon St
Hillsdale, MI 49242-1616

Mailing address

12 E Bacon St
Hillsdale, MI 49242-1616
Phone (517) 437-7040

Other names 1

  • Hillsdale Health and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1053758748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E BACON ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421616",
            "telephone_number": "517-437-7040",
            "fax_number": "517-737-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E BACON ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421616",
            "telephone_number": "517-437-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI DAVID YARID DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "YARID",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-437-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsdale Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.