Organization Active NPI

Historic Family Physicians PLC

  • Family Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1073743761
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HISTORIC FAMILY PHYSICIANS PLC
Practice address
327 Capital Ave NE
Battle Creek, MI 49017-3924
Phone
(269) 969-6040
Fax
(269) 969-6041
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Mrs. Rhoda M Robinson
Title
Office Manager
Phone
(269) 969-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

327 Capital Ave NE
Battle Creek, MI 49017-3924

Mailing address

327 Capital Ave NE
Battle Creek, MI 49017-3924
Phone (269) 969-6040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000018 MI Part B Supplier - Clinic/Group Practice 5496801276 Receives reassigned benefits from 2 practitioners
Practice locations: Battle Creek, 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
23D0873283Historic Family Physicians PLC327 Capital Ave NE, Battle Creek, MI 49017Provider-performed microscopyJul 21, 2027

National Provider Directory

National Provider Directory

Locations

327 Capital Ave NE
Battle Creek, MI 49017
Phone (269) 841-5709

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1073743761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CAPITAL AVE NE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173924",
            "telephone_number": "269-969-6040",
            "fax_number": "269-969-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CAPITAL AVE NE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173924",
            "telephone_number": "269-969-6040",
            "fax_number": "269-969-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTORIC FAMILY PHYSICIANS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RHODA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-969-6040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

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