NPIMap

Organization Active NPI

McLaren Flint

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1154469229
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MCLAREN FLINT
Practice address
401 S Ballenger Hwy
Flint, MI 48532
Phone
(810) 342-2000
Fax
(810) 342-1590
NPI assigned
Feb 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Fred Korte
Title
Cfo
Phone
(810) 342-2000

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 134

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

View all 134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040510001313 MI Part B Supplier - Clinic/Group Practice 8628975497 Receives reassigned benefits from 4 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

1459 S Center Rd
Ste 203
Burton, MI 48509

401 S Gallenger
Detroit, MI 48277

2420 Owen Rd
Ste G
Fenton, MI 48430
Phone (810) 496-2400

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

2420 Owen Rd
Ste F
Fenton, MI 48430

1314 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 342-1700

G3230 Beecher Rd
Ste 2
Flint, MI 48532
Phone (810) 342-5800

401 S Ballenger Hwy
Ste 105
Flint, MI 48532

1314 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 342-1700

G3239 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 733-6480

G3200 Beecher Rd
Flint, MI 48532
Phone (810) 342-2000

G3200 Beecher Rd
#1
Flint, MI 48532

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X

Addresses

NPPES NPI Registry

Primary practice location

401 S Ballenger Hwy
Flint, MI 48532

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
110B561250OtherMABLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2018.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1154469229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-2000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-342-2000",
            "fax_number": "810-342-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN FLINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "KORTE",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-342-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110B561250",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.