Organization Active NPI

Baccari PC

Doing business as Sault Walk In Clinic

  • General Practice Physician
  • Sault Sainte Marie, MI
National Provider Identifier
1255548814
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101009526 Issued in MI
Legal business name
BACCARI PC
Doing business as
Sault Walk In Clinic
Practice address
3390 I-75 Business Spur S
Soo Plaza
Sault Sainte Marie, MI 49783-1014
Phone
(906) 635-9710
Fax
(906) 635-9780
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elsi Maria Baccari, D.O.NPI 1699827303
Title
Head Physician
Phone
(906) 635-9710

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 5101009526 MI Primary

Addresses

Primary practice location

3390 I-75 Business Spur S
Soo Plaza
Sault Sainte Marie, MI 49783-1014

Mailing address

3392 I-75 Business Spur
Soo Plaza
Sault Sainte Marie, MI 49783-1014
Phone (906) 635-9710

Other names 1

  • Sault Walk In Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3390 I 75 Business Spur
Sault Sainte Marie, MI 49783
Phone (906) 635-9710

3392 I 75 Business Spur
Sault Sainte Marie, MI 49783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255548814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 I-75 BUSINESS SPUR",
            "address_2": "SOO PLAZA",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831014",
            "telephone_number": "906-635-9710",
            "fax_number": "906-635-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 I-75 BUSINESS SPUR S",
            "address_2": "SOO PLAZA",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831014",
            "telephone_number": "906-635-9710",
            "fax_number": "906-635-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACCARI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACCARI",
        "authorized_official_first_name": "ELSI",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "HEAD PHYSICIAN",
        "authorized_official_telephone_number": "906-635-9710",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101009526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sault Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • 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.