Pine Trees Medical Office, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301028315 Issued in MI

Legal business name

PINE TREES MEDICAL OFFICE, P.C.

Practice address

604 W Main St
Ste B
Gaylord, MI 49735-1869

Phone

(989) 448-2900

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Roy W Boyer, M.D.

Title

Physician

Phone

(989) 448-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1144628447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "address_2": "STE B",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351869",
            "telephone_number": "989-448-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "address_2": "STE B",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351869",
            "telephone_number": "989-448-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE TREES MEDICAL OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-448-2900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301028315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Gaylord, MI
• Providers in Gaylord, 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 Dec 18, 2014; 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.