Alpine Family Medicine PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KK030249 Issued in MI

Legal business name

ALPINE FAMILY MEDICINE PLC

Practice address

652 N Otsego Ave
Gaylord, MI 49735-2502

Phone

(989) 732-3529

Fax

(989) 732-7865

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Derek David Olson, MDNPI 1497796007

Title

MD/Owner

Phone

(989) 732-3529

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: derek-olson@alpinefamilymedicine.e-mdsdirect.com

Practitioners 2

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

• Derek David Olson, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Gaylord, MI
  • NPI 1497796007

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD Authorized official
• Ashley A Groters, NP

  • Nurse Practitioner
  • Gaylord, MI
  • NPI 1225660285

  MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1174577720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352502",
            "telephone_number": "989-732-3529",
            "fax_number": "989-732-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352502",
            "telephone_number": "989-732-3529",
            "fax_number": "989-732-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "989-732-3529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KK030249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derek-olson@alpinefamilymedicine.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "652 N Otsego Ave",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497352502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caleb Robert Alley, DO
• Alpine Cardiology, PLLC
• Alpine Chiropractic, PC
• Alpine Dental Group, Inc.
• Alpine Eye Care, PC
• Alpine Orthopedics,PC
• Ambulatory Infusion Care-North Inc
• Gabriel Aaron Amey
• Shady Louise Anderson, BT
• Laura M Andrews

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.