Active NPI
Family Health & Wellness P.C.
- Medical Physician Assistant
- Beaverton, MI
National Provider Identifier
1285182899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601004029
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Call, PA-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285182899 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physician Assistant
- Beaverton, MI
- NPI 1760424972
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.