West Branch Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301085012 Issued in MI

Legal business name

WEST BRANCH PEDIATRICS

Practice address

337 East Houghton Ave
West Branch, MI 48661

Phone

(989) 343-9466

Fax

(989) 343-9443

NPI assigned

Feb 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnie C Baker, MD

Title

Owner

Phone

(989) 343-9466

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255306114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "address_2": "337 EAST HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "48661",
            "telephone_number": "989-343-9466",
            "fax_number": "989-343-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 EAST HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "48661",
            "telephone_number": "989-343-9466",
            "fax_number": "989-343-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRANCH PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JOHNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-343-9466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085011",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301085012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4721025",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4735460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Branch Family Dentistry, PLLC
• West Branch Family Practice PC
• West Branch Geriatric Village, Inc (bortz health care of west branch)
• West Branch Neruology
• West Branch Opco, LLC (The Villa at West Branch)
• West Branch Pharmacy LLC
• West Branch Regional Medical Center
• West Branch Surgical Associates, P.C.
• Thomas Emerson Westerfield, O.D.
• Stephanie Westfall

• Pediatrics Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Pediatrics 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.