Active NPI
Kalamazoo Valley Family Practice PC
- Family Medicine Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301044950
- Legal business name
- KALAMAZOO VALLEY FAMILY PRACTICE PC
- Practice address
- 1821 Whites Rd
Suite C
Kalamazoo, MI 49008-4805 - Phone
- (269) 381-7220
- Fax
- (269) 381-7224
- NPI assigned
- Oct 23, 2007
- Last updated
- Oct 16, 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. Wayne Francis Little, MD
- Title
- Owner
- Phone
- (269) 381-7220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301044950 | MI | Primary |
Addresses
Primary practice location
1821 Whites Rd
Suite C
Kalamazoo, MI 49008-4805
Mailing address
1821 Whites Rd
Suite C
Kalamazoo, MI 49008-4805
Phone (269) 381-7220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4516768 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1821 Whites Rd
Kalamazoo, MI 49008
Phone (269) 381-7220
1821 Whites Rd
Ste C
Kalamazoo, MI 49008
Phone (269) 381-7220
Interoperability endpoints
- https://api.platform.athenahealth.com/18212/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Kalamazoo, MI
- NPI 1508854456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1326237611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 WHITES RD",
"address_2": "SUITE C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490084805",
"telephone_number": "269-381-7220",
"fax_number": "269-381-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 WHITES RD",
"address_2": "SUITE C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490084805",
"telephone_number": "269-381-7220",
"fax_number": "269-381-7224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALAMAZOO VALLEY FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-23",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "269-381-7220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301044950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4516768",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
- Kalamazoo Speech Associates
- Kalamazoo Speech Associates, Inc. (Kalamazoo Speech Associates)
- Kalamazoo TC Operator LLC (Enlightened Recovery)
- Kalamazoo Valley Chiropractic, LLC
- Kalamazoo Valley Dental Care PC
- Cleopas Allan Kaliati
- Nancy Jean Kalinowski, M.D.
- Sandra Kaliszak, CRNA
- John Thomas Kallas, CRNA
- Kalmazoo Gastroenterology Hepatology and Digestive Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.