Physician'S Weight Management Center

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

PHYSICIAN'S WEIGHT MANAGEMENT CENTER

Practice address

3537 W Front St
Suite H
Traverse City, MI 49684-7941

Phone

(231) 935-8878

Fax

(231) 935-8901

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Eleanor Beal, MDNPI 1982798583

Title

Owner

Phone

(231) 935-8878

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Eleanor Beal, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1982798583
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295870384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE H",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847941",
            "telephone_number": "231-935-8878",
            "fax_number": "231-935-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE H",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847941",
            "telephone_number": "231-935-8878",
            "fax_number": "231-935-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S WEIGHT MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1102810071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Gregory Phillippo, RPT
• Aaron Phillips, RN
• Audrey Phillips
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• Phoenix Wellness Centers, Inc
• Piche Family Chiropractic
• Piche Family Chiropractic P.L.L.C.
• Donald Francis Piche, D.C.
• Joseph Patrick Piche, D,C,
• Lea Barclay Piche, D.C.

• Addiction Medicine (Internal Medicine) Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Addiction Medicine (Internal Medicine) Physician in Michigan

• 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.