NPIMap

Organization Active NPI

McLaren Medical Management Inc

  • Emergency Medicine Physician
  • Davison, MI
National Provider Identifier
1225295660
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MCLAREN MEDICAL MANAGEMENT INC
Practice address
10090 E Lippincott Blvd
Davison, MI 48423-9151
Phone
(810) 658-6528
Fax
(810) 653-8589
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MCLAREN MEDICAL MANAGEMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Donald J Kane
Title
Corp Director Physician Billing
Phone
(810) 342-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

10090 E Lippincott Blvd
Davison, MI 48423-9151

Mailing address

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000

Other names 1

  • McLaren Medical Management - Convenient Care Other name

National Provider Directory

National Provider Directory
Tax ID family
McLaren Services Corp7 organizations share this tax ID, including this one
Part of
McLaren Services Corp

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1225295660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 E LIPPINCOTT BLVD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239151",
            "telephone_number": "810-658-6528",
            "fax_number": "810-653-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN MEDICAL MANAGEMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLAREN MEDICAL MANAGEMENT INC",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORP DIRECTOR PHYSICIAN BILLING",
        "authorized_official_telephone_number": "810-342-1530"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Medical Management - Convenient Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.