Active NPI
Indigo Hospital Medicine - Manistee, PLC
- Internal Medicine Physician
- Manistee, MI
National Provider Identifier
1124415666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INDIGO HOSPITAL MEDICINE - MANISTEE, PLC
- Practice address
- 1400 E Parkdale Ave
Manistee, MI 49660-9776 - Phone
- (231) 346-6807
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne E McMorrow
- Title
- Director of Reimbursement
- Phone
- (231) 346-6807
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1400 E Parkdale Ave
Manistee, MI 49660-9776
Mailing address
10850 E Traverse Hwy
Ste 4400
Traverse City, MI 49684-1364
Phone (231) 346-6800
National Provider Directory
National Provider DirectoryPractitioners & 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": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444608000000",
"number": "1124415666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 E TRAVERSE HWY",
"address_2": "STE 4400",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496841364",
"telephone_number": "231-346-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E PARKDALE AVE",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609776",
"telephone_number": "231-346-6807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIGO HOSPITAL MEDICINE - MANISTEE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-10-12",
"status": "A",
"authorized_official_last_name": "MCMORROW",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "231-346-6807"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.