Organization Active NPI

Health Partners of Central Michigan PLLC

  • Family Medicine Physician
  • Mount Pleasant, MI
National Provider Identifier
1235859455
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH PARTNERS OF CENTRAL MICHIGAN PLLC
Practice address
2853 Health Pkwy Ste B
Mount Pleasant, MI 48858-9375
Phone
(989) 775-7641
Fax
(989) 775-6472
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Dr. Terry Ball, DONPI 1538119557
Title
Co-Owner
Phone
(989) 954-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2853 Health Pkwy Ste B
Mount Pleasant, MI 48858-9375

Mailing address

2853 Health Pkwy Ste B
Mount Pleasant, MI 48858-9375
Phone (989) 775-7641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230302001316 MI Part B Supplier - Clinic/Group Practice 5294108833 Receives reassigned benefits from 4 practitioners
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1235859455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PKWY STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589375",
            "telephone_number": "989-775-7641",
            "fax_number": "989-775-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 HEALTH PKWY STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589375",
            "telephone_number": "989-775-7641",
            "fax_number": "989-775-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARTNERS OF CENTRAL MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "989-954-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.