Aff Medical Center LNC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301030837 Issued in MI

Legal business name

AFF MEDICAL CENTER LNC

Practice address

400 Medical Park Dr
Suite 200
Watervliet, MI 49098-9225

Phone

(269) 463-4000

Fax

(269) 463-7000

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amelia F Fajardo, MD

Title

Owner

Phone

(269) 463-4000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1194809129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 200",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989225",
            "telephone_number": "269-463-4000",
            "fax_number": "269-463-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 200",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989225",
            "telephone_number": "269-463-4000",
            "fax_number": "269-463-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFF MEDICAL CENTER LNC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-463-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301030837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&W Red Arrow Chiropractic LLC
• Alfonso G Llanto MD PC
• Amelia Fajardo Family Medical Clinic PC
• Araceli C Mesiona-Brucal MD PLLC
• Charlene M Baumgartner, P.A.
• Belfy Drug Store Inc

• All providers in Watervliet, MI
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.