Wadhams Family Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

GJ012784 Issued in MI

Legal business name

WADHAMS FAMILY CARE PLLC

Practice address

5312 Lapeer Rd
Kimball, MI 48074-1424

Phone

(810) 984-2693

Fax

(810) 984-2669

NPI assigned

Oct 8, 2008

Last updated

Jan 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kay L Robbins

Title

Practice Manager

Phone

(810) 984-2693

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Gina Fusco Albert, FNP-BC

  • Family Nurse Practitioner
  • Kimball, MI
  • NPI 1962051482
  Medicare reassignment NPD
• Gary A James, D.O.

  • Family Medicine Physician
  • Kimball, MI
  • NPI 1255317178
  Medicare reassignment NPD
• Paul Thomas Somerville, D.O.

  • Family Medicine Physician
  • Kimball, MI
  • NPI 1598738304
  Medicare reassignment NPD

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1073764932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 LAPEER RD",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480741424",
            "telephone_number": "810-984-2693",
            "fax_number": "810-984-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 LAPEER RD",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480741424",
            "telephone_number": "810-984-2693",
            "fax_number": "810-984-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADHAMS FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "810-984-2693",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "PS012787",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "GJ012784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Alan Topolewski, O.D.
• Mark Alan Topolewski, O.D.
• Dennis Albert Vollmer, R.PH.
• Crystal M Vollstaedt, LPN
• Wadhams Corner Pharmacy, LLC
• Jeffrey Alan Wolff, AGAC-NP
• Kelley Wood, BSN,RN
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08053)

• Primary Care Clinic/Center in Kimball, MI
• Providers in Kimball, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.