Organization Active NPI

Family Health & Wellness P.C.

  • Medical Physician Assistant
  • Beaverton, MI
National Provider Identifier
1285182899
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004029 Issued in MI
Legal business name
FAMILY HEALTH & WELLNESS P.C.
Practice address
129 W Brown St
Beaverton, MI 48612-8119
Phone
(989) 435-2937
Fax
(989) 892-7455
NPI assigned
Sep 13, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Richard Call, PA-CNPI 1760424972
Title
Owner
Phone
(989) 435-2937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601004029 MI Primary

Addresses

Primary practice location

129 W Brown St
Beaverton, MI 48612-8119

Mailing address

129 W Brown St
Beaverton, MI 48612-8119
Phone (989) 435-2937

Other identifiers 1

IdentifierTypeStateIssuer
1285182899MedicaidMI

National Provider Directory

National Provider Directory

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": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1285182899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W BROWN ST",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486128119",
            "telephone_number": "989-435-2937",
            "fax_number": "989-892-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W BROWN ST",
            "city": "BEAVERTON",
            "state": "MI",
            "postal_code": "486128119",
            "telephone_number": "989-435-2937",
            "fax_number": "989-892-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH & WELLNESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-435-2937",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285182899",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.