Family Practice Associates of Macomb LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE ASSOCIATES OF MACOMB LTD

Practice address

505 E Grant St
Suite 110 Family Practice Associates of Macomb LTD
Macomb, IL 61455-3352

Phone

(309) 833-1733

Fax

(309) 836-2369

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jack Lee McPherson, MD

Title

President

Phone

(309) 833-1733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154306397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553352",
            "telephone_number": "309-833-1733",
            "fax_number": "309-836-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553352",
            "telephone_number": "309-833-1733",
            "fax_number": "309-836-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE ASSOCIATES OF MACOMB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-833-1733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy D Eckman, M.D.
• Kathy Ann Eckroy, COTA/L
• Jo Anna Edison, MS, LSW
• Heidi Lee Elbe
• Jessica Lyn Ellefritz, LCSW
• Curtis Corman Farr, MD
• Brittany Figge, RD, LDN
• Jordan Fink, P.T.
• Alissa Sue Fisk, LCPC
• Timothy Robert Fitzgerald, DDS

• Family Medicine Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.