Family Care Practice PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101019040 Issued in MI

Legal business name

FAMILY CARE PRACTICE PLC

Practice address

1675 Watertower PL
Suite 700
East Lansing, MI 48823-8043

Phone

(517) 253-0539

Fax

(517) 253-0536

NPI assigned

Jun 6, 2015

Organization subpart

No

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

Authorized official

Name

Jon Thomas Sanford

Title

Ceo

Phone

(517) 899-1680

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1124408943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 WATERTOWER PL",
            "address_2": "SUITE 700",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238043",
            "telephone_number": "517-253-0539",
            "fax_number": "517-253-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WATERTOWER PL",
            "address_2": "SUITE 700",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238043",
            "telephone_number": "517-253-0539",
            "fax_number": "517-253-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PRACTICE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-06",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-899-1680"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q500000X",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902114424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Evans
• Anna Faye Evanson, LMT
• Ever Flourishing Personal Care Services
• Thomas G Faiver, D.D.S.
• Ryan Stephen Fajardo, M.D.
• Family Focus Counseling Services LLC
• Leslie Danielle Fantin
• Alexander A Farhadi
• Amelia Farley
• Morgan Farmer

• Family Medicine Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.