Family First Health Care, Yale, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013003 Issued in MI

Legal business name

FAMILY FIRST HEALTH CARE, YALE, P.L.L.C.

Practice address

7470 Brockway Rd
Brockway, MI 48097-3458

Phone

(810) 387-9355

Fax

(810) 387-9400

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott McPhilimy, D.O.NPI 1033140728

Title

Owner

Phone

(810) 387-9355

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Family First Health Care-Yale, PLLC

  • Family Medicine Physician
  • Lexington, MI
  • NPI 1790139475

  O20050427000602

  Same enrollment

Locations

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

• Scott A McPhilimy, D.O.

  • Family Medicine Physician
  • Brockway, MI
  • NPI 1033140728

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Diane Coenen, P.A.

  • Medical Physician Assistant
  • Brockway, MI
  • NPI 1710982574

  MI

  Medicare reassignment Care Compare group
• Taylor S Kasper, PA-C

  • Physician Assistant
  • Lexington, MI
  • NPI 1124547971

  MI

  Medicare reassignment Care Compare group
• Katrina Louise Stachowiak, PA-C

  • Physician Assistant
  • Brockway, MI
  • NPI 1801862842

  MI

  Medicare reassignment Care Compare group

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1164601290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 BROCKWAY RD",
            "city": "BROCKWAY",
            "state": "MI",
            "postal_code": "480973458",
            "telephone_number": "810-387-9355",
            "fax_number": "810-387-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 BROCKWAY RD",
            "city": "BROCKWAY",
            "state": "MI",
            "postal_code": "480973458",
            "telephone_number": "810-387-9355",
            "fax_number": "810-387-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTH CARE, YALE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MCPHILIMY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-387-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0857410634",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0857410634",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "G61736",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC1620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara R Deters, PA-C
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• Brent Lee Edgerton, DC
• Giselle Gark
• Ryanne Leigh Grygorcewicz, LMSW
• Christine Sue Harrington, FNP-BC
• Karen Hein
• Ryan Michael Huffman, DC

• All providers in Brockway, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.