Organization Active NPI

Jami a. Wichert M.D. PLLC

  • Pediatrics Physician
  • Haslett, MI
National Provider Identifier
1124222161
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301070653 Issued in MI
Legal business name
JAMI A. WICHERT M.D. PLLC
Practice address
1640 Haslett Rd
Ste 1
Haslett, MI 48840-8691
Phone
(517) 575-0501
Fax
(517) 575-0503
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Jami A Wichert, M.D.
Title
Owner
Phone
(517) 575-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301070653 MI Primary

Addresses

Primary practice location

1640 Haslett Rd
Ste 1
Haslett, MI 48840-8691

Mailing address

1640 Haslett Rd
Ste 1
Haslett, MI 48840-8691
Phone (517) 575-0501

Other names 1

  • Haslett Community Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

1640 Haslett Rd
Ste 1
Haslett, MI 48840
Phone (517) 575-0501

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1124222161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 HASLETT RD",
            "address_2": "STE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408691",
            "telephone_number": "517-575-0501",
            "fax_number": "517-575-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HASLETT RD",
            "address_2": "STE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408691",
            "telephone_number": "517-575-0501",
            "fax_number": "517-575-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMI A. WICHERT M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "WICHERT",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-575-0501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301070653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haslett Community Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haslett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.