New Life Medical Senior Care PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

5101009049 Issued in MI

Legal business name

NEW LIFE MEDICAL SENIOR CARE PC

Practice address

105 S Wildwood Xing Apt 20
Ludington, MI 49431-8719

Phone

(231) 233-1704

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Daniel Ray Smalley, D.O.NPI 1982871265

Title

President

Phone

(231) 233-1704

Specialties & licenses 1

Addresses

Practitioners 1

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

• Daniel R Smalley, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Ludington, MI
  • NPI 1982871265
  NPD (past) Authorized official

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1174800411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 SEMINOLE RD",
            "address_2": "SUITE 200",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443749",
            "telephone_number": "231-759-5065",
            "fax_number": "231-780-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WILDWOOD XING APT 20",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494318719",
            "telephone_number": "231-233-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL SENIOR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "SMALLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-233-1704",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "5101009049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy F Murphy, M.D.
• Melissa Ann Murray, CRNA
• Laura Marie Myers, DNAP, CRNA
• Megan Marie Myers, BA
• Craig Nelson, D.O.
• Michelle Renae Nicewander, FNP
• Beth Ann Nickelson, RDN
• Kathryn Jean Niemeyer, NP
• Kelly Niergarth
• Lisa Nordman, LMSW

• Geriatric Medicine (Family Medicine) Physician in Ludington, MI
• Providers in Ludington, MI by specialty
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.