Active NPI
Yazdi N. Amaria,M.D.,P.C.
- Family Medicine Physician
- Sturgis, MI
National Provider Identifier
1306010145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301049704
- Legal business name
- YAZDI N. AMARIA,M.D.,P.C.
- Practice address
- 111 S Monroe St
Sturgis, MI 49091-1728 - Phone
- (269) 651-3218
- Fax
- (269) 651-3219
- NPI assigned
- Apr 14, 2008
- 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. Yazdi N Amaria, M.D.
- Title
- President
- Phone
- (269) 651-3218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301049704 | MI | Primary |
Addresses
Primary practice location
111 S Monroe St
Sturgis, MI 49091-1728
Mailing address
111 S Monroe St
Sturgis, MI 49091-1728
Phone (269) 651-3218
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018312 | Other | MI | MCLAREN HEALTH PLAN |
| 0005218428 | Other | AETNA | |
| 102883801 | Medicaid | MI | |
| 13039 | Other | MI | HEALTH PLAN OF MICHIGAN |
| 0107500492 | Other | MI | BLUE CROSS BLUE SHIELD |
| 113029 | Other | MI | GREAT LAKES HEALTH PLAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1306010145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S MONROE ST",
"city": "STURGIS",
"state": "MI",
"postal_code": "490911728",
"telephone_number": "269-651-3218",
"fax_number": "269-651-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MONROE ST",
"city": "STURGIS",
"state": "MI",
"postal_code": "490911728",
"telephone_number": "269-651-3218",
"fax_number": "269-651-3219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAZDI N. AMARIA,M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "AMARIA",
"authorized_official_first_name": "YAZDI",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-651-3218",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301049704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1018312",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005218428",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102883801",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "13039",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0107500492",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "113029",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturgis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.