Organization Active NPI

Tri County Medical

  • Internal Medicine Physician
  • Highland, MI
National Provider Identifier
1285849661
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
JB012525 Issued in MI
Legal business name
TRI COUNTY MEDICAL
Practice address
210 W Highland Rd
Ste 102
Highland, MI 48357-4573
Phone
(586) 773-1823
Fax
(586) 773-1211
NPI assigned
May 11, 2007
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
Dr. Jon Barber, DO
Title
Physician
Phone
(586) 773-1823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X JB012525 MI Primary

Addresses

Primary practice location

210 W Highland Rd
Ste 102
Highland, MI 48357-4573

Mailing address

210 W Highland Rd
Ste 102
Highland, MI 48357-4573
Phone (586) 773-1823

Other identifiers 2

IdentifierTypeStateIssuer
4734373MedicaidMI
0156312915OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

210 W Highland Rd
Ste 102
Highland, MI 48357
Phone (248) 529-3167

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285849661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD",
            "address_2": "STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "586-773-1823",
            "fax_number": "586-773-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD",
            "address_2": "STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "586-773-1823",
            "fax_number": "586-773-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-773-1823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JB012525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4734373",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0156312915",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, 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.