Mt. Pleasant Medical Practice, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

FA011418 Issued in MI

Legal business name

MT. PLEASANT MEDICAL PRACTICE, P.C.

Practice address

314 S Brown St
Mt Pleasant, MI 48858-2936

Phone

(989) 953-5400

Fax

(989) 953-5401

NPI assigned

Dec 15, 2006

Last updated

Aug 22, 2020By 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

Dr. Faris Peter Atchoo, DO

Title

Treasurer

Phone

(989) 953-5400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104988252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S BROWN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582936",
            "telephone_number": "989-953-5400",
            "fax_number": "989-953-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S BROWN ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582936",
            "telephone_number": "989-953-5400",
            "fax_number": "989-953-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PLEASANT MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATCHOO",
        "authorized_official_first_name": "FARIS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "989-953-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "FA011418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shelby Muhn
• Stacey E Mullin, NP-C
• Sydney Myers, RBT
• Mymichigan Medical Center Alma (MidMichigan Health Park-Mt Pleasant)

• Internal Medicine Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.