Internal Medicine Clinic PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

JM059074 Issued in MI

Legal business name

INTERNAL MEDICINE CLINIC PLLC

Practice address

105 Arbor LN
Alpena, MI 49707-1301

Phone

(989) 356-3485

Fax

(989) 356-6396

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Kristen Metzke

Title

Billing Manager

Phone

(989) 356-3485

Specialties & licenses 3

Addresses

Other identifiers 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Ludlow, FNP-C

  • Family Nurse Practitioner
  • Alpena, MI
  • NPI 1861109076
  Medicare reassignment Care Compare group
• Stephen Clovis Sheridan, M.D.

  • Family Medicine Physician
  • Alpena, MI
  • NPI 1821020009
  Medicare reassignment Care Compare group
• Cori Williams, FNP

  • Family Nurse Practitioner
  • Onaway, MI
  • NPI 1710371877
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124011127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ARBOR LN",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071301",
            "telephone_number": "989-356-3485",
            "fax_number": "989-356-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "METZKE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "989-356-3485"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "HS024997",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "MC034224",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "JM059074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM COMMON PROVIDER #",
            "identifier": "110Z476020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ledonna R Husband
• Devon Amanda Idalski, MS, CCC-SLP
• In Harmony Professional Counseling Services PLLC
• Indigo Hospital Medicine - Alpena, PLC
• Integrated Family Care, PC
• Catherine A Isbell, LMSW
• Angie Iwema
• Jack H Behl DDS, PC
• Lindsey Nicole Jack, CPNP
• Cynthia 'Kayla' Jackson

• Pulmonary Disease Physician in Alpena, MI
• Providers in Alpena, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.