Mi Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MI PRIMARY CARE, PLLC

Practice address

4950 E Blue Grass Rd
Mt Pleasant, MI 48858-6020

Phone

(989) 817-4640

Fax

(833) 974-2264

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Roberta S Hahn, NP

Title

Manager

Phone

(989) 303-4101

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22056/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1104441302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 E BLUE GRASS RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586020",
            "telephone_number": "989-817-4640",
            "fax_number": "833-974-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 E BLUE GRASS RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586020",
            "telephone_number": "989-817-4640",
            "fax_number": "833-974-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 N Mill St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MI",
            "postal_code": "488801523",
            "country_code": "US",
            "telephone_number": "989-303-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MI PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-303-4101",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Alexandra Merrill, PHARM D
• Emma Mertes
• Krystyn Messersmith
• Rachel Methner
• Kayla Meyer, OTRL
• Michael J Moutsatson DO PLLC
• Marlene Michalowski, O.G.N.P.
• Michigan Healthcare Professionals, P.C.
• Michigan Radiology Consultants, PC
• Michigan Therapeutic Consultants PC

• All providers in Mt Pleasant, MI
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.