Active NPI
Lowell Family Medical Center
- Family Medicine Physician
- Lowell, MI
National Provider Identifier
1295715779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LOWELL FAMILY MEDICAL CENTER
- Practice address
- 2550 W Main St
Lowell, MI 49331-8695 - Phone
- (616) 252-5600
- Fax
- (616) 252-5660
- NPI assigned
- Jan 19, 2006
- 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
- Dr. Paul R Gauthier, DO
- Title
- Partner
- Phone
- (616) 252-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2550 W Main St
Lowell, MI 49331-8695
Mailing address
2550 W Main St
Lowell, MI 49331-8695
Phone (616) 252-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D14845 | Other | MI | BLUE CROSS BLUE SHIELD |
Other names 1
- LOWELL FAMILY MEDICAL CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245110400000",
"number": "1295715779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W MAIN ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493318695",
"telephone_number": "616-252-5600",
"fax_number": "616-252-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W MAIN ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493318695",
"telephone_number": "616-252-5600",
"fax_number": "616-252-5660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWELL FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2009-06-16",
"status": "A",
"authorized_official_last_name": "GAUTHIER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "616-252-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0D14845",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LOWELL FAMILY MEDICAL CENTER",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lowell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.