Organization Active NPI

Chelsea Area Primary Care PLLC

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1245435486
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301406214 Issued in MI
Legal business name
CHELSEA AREA PRIMARY CARE PLLC
Practice address
6276 Jackson Rd
Suite B
Ann Arbor, MI 48103
Phone
(734) 663-4490
Fax
(734) 663-6397
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Thomas K Obrien, MD
Title
Owner
Phone
(734) 663-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301406214 MI Primary

Addresses

Primary practice location

6276 Jackson Rd
Suite B
Ann Arbor, MI 48103

Mailing address

6276 Jackson Rd
Suite B
Ann Arbor, MI 48103
Phone (734) 663-4490

National Provider Directory

National Provider Directory

Locations

6276 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 663-4490

Practitioners & affiliated clinicians

Practitioners 2

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1245435486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-663-4490",
            "fax_number": "734-663-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-663-4490",
            "fax_number": "734-663-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA AREA PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-663-4490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.