Central Michigan Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101014871 Issued in MI

Legal business name

CENTRAL MICHIGAN FAMILY PRACTICE

Practice address

522 East Main Street
Farwell, MI 48622

Phone

(989) 588-6153

Fax

(989) 588-6194

NPI assigned

Jul 20, 2006

Last updated

Dec 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brock W Horsley, D.O

Title

Owner

Phone

(989) 588-6153

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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.

• Marilyn P McGinty, PA

  • Medical Physician Assistant
  • Mt Pleasant, MI
  • NPI 1811944168
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1306866215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 EAST MAIN STREET",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "48622",
            "telephone_number": "989-588-6153",
            "fax_number": "989-588-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 EAST MAIN STREET",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "48622",
            "telephone_number": "989-588-6153",
            "fax_number": "989-588-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "HORSLEY",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-588-6153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610677100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP UNITED HEALTHCARE",
            "identifier": "0101842",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114637450",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0853701105",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1012731",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeromy Michael Brewer
• Margaret Brewer
• Michael Brewer
• Quinci Anne Butler
• Stacy Carstensen, FNP
• Molly Marie Clark, DNP, FNP-C
• Colleen Quesada DMD PLLC (Farwell Family Dentistry)
• Country Care Assisted Living
• Sharon Lynn Dewey
• Lacie K Dewitt, RBT

• Family Medicine Physician in Farwell, MI
• Providers in Farwell, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.