Active NPI
Parchment Family Practice, P.C.
- Family Medicine Physician
- Parchment, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101011220
- Legal business name
- PARCHMENT FAMILY PRACTICE, P.C.
- Practice address
- 2350 E G Ave
Parchment, MI 49004-1943 - Phone
- (269) 344-6183
- Fax
- (269) 349-3046
- NPI assigned
- Nov 13, 2006
- Last updated
- Jan 12, 2015
- 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. Eric E Born, D.O.
- Title
- President
- Phone
- (269) 344-6173
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101011220 | MI | Primary |
Addresses
Primary practice location
2350 E G Ave
Parchment, MI 49004-1943
Mailing address
2350 E G Ave
Parchment, MI 49004-1943
Phone (269) 344-6183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114621039 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0662812 | Parchment Family Practice | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
2350 E G Ave
Parchment, MI 49004
Phone (239) 344-6183
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEAFBA
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Parchment, MI
- NPI 1386653913
-
- Medical Physician Assistant
- Parchment, MI
- NPI 1700990082
-
- Physician Assistant
- Marshall, MI
- NPI 1124118849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421020800000",
"number": "1295807741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 E G AVE",
"city": "PARCHMENT",
"state": "MI",
"postal_code": "490041943",
"telephone_number": "269-344-6183",
"fax_number": "269-349-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 E G AVE",
"city": "PARCHMENT",
"state": "MI",
"postal_code": "490041943",
"telephone_number": "269-344-6183",
"fax_number": "269-349-3046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARCHMENT FAMILY PRACTICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2015-01-12",
"status": "A",
"authorized_official_last_name": "BORN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-344-6173",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101011220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114621039",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parchment, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.