Organization Active NPI

Blue Care Network of Mi

Doing business as Family Health Center of Blue Care Network

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1093842510
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUE CARE NETWORK OF MI
Doing business as
Family Health Center of Blue Care Network
Practice address
1401 S Creyts Rd
Lansing, MI 48917-8507
Phone
(517) 322-4000
Fax
(517) 322-4009
NPI assigned
Feb 28, 2007
Last updated
Apr 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Dr. Marc D. Keshishian, M.D.
Title
Senior VP and Chief Medical Officer
Phone
(248) 799-6843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1401 S Creyts Rd
Lansing, MI 48917-8507

Mailing address

1401 S Creyts Rd
Lansing, MI 48917-8507
Phone (517) 322-4000

Other names 1

  • Family Health Center of Blue Care Network 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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1093842510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178507",
            "telephone_number": "517-322-4000",
            "fax_number": "517-322-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178507",
            "telephone_number": "517-322-4000",
            "fax_number": "517-322-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CARE NETWORK OF MI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "KESHISHIAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR VP AND CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "248-799-6843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Blue Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.