Michigan Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHIGAN FAMILY PRACTICE, LLC

Practice address

875 Laurence Ave
Jackson, MI 49202-2966

Phone

(517) 817-0280

Fax

(517) 787-0730

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Mikesell, D.O.NPI 1205884715

Title

Owner/Physician

Phone

(517) 536-8677

Specialties & licenses 1

Addresses

Practitioners 2

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

• Gary Mikesell, DO

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1205884715
  NPD (past) Authorized official
• Maria Soto, DO

  • Family Medicine Physician
  • Jackson, MI
  • NPI 1063460590
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225070998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "NAPOLEON",
            "state": "MI",
            "postal_code": "492610739",
            "telephone_number": "517-536-8677",
            "fax_number": "517-536-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 LAURENCE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022966",
            "telephone_number": "517-817-0280",
            "fax_number": "517-787-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKESELL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "517-536-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Allen Michael, LLMSW, OTR/L
• Jennifer Michael, MA TLLP
• Michigan Continuum Care PLLC
• Michigan Dentists PLLC
• Michigan Family Chiropractic-Jackson
• Michigan Institute of Neurological Diseases, PLLC
• Michigan Sleep Diagnostic Center, LLC
• Michigan Visiting Care
• Michigan-Online Therapy PLLC
• Mid Michigan Eye Care Center, PC

• Family Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.