Family Practice of Cadillac PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE OF CADILLAC PC

Practice address

827 E Division St
Cadillac, MI 49601-2015

Phone

(231) 775-9741

NPI assigned

Aug 31, 2006

Last updated

Nov 2, 2020By 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

Carol Corwin

Title

Office Manager

Phone

(231) 775-9741

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDEIBA

Practitioners 6

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.

• Kevin Anderson, M.D.

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1942202916
  Medicare reassignment Care Compare group NPD
• Alicia Elmore, D.O.

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1700887841
  Medicare reassignment Care Compare group NPD
• Elizabeth Shokoui Hicks, D.O.

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1982959235
  Medicare reassignment Care Compare group NPD
• Helen M Kiomento, MD

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1316927106
  Medicare reassignment Care Compare group NPD
• Brandon C Peltier, D.O.

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1679566863
  Medicare reassignment Care Compare group NPD
• Sergei Shumaster

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1366830606
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1336250323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E DIVISION ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E DIVISION ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012015",
            "telephone_number": "231-775-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF CADILLAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "231-775-9741"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "080H36303",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Elmore, D.O.
• David Embertson
• Alyssa Emington
• Samantha Marie England
• Angela Engler
• Family Supportive Services of Northern Michigan LLC
• Deborah Kay Farst, PT
• Kiley Fields
• Jacqueline Mae Finch
• James R. Findley, PHD

• Family Medicine Physician in Cadillac, MI
• Providers in Cadillac, 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 Nov 2, 2020; 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.

Verify at the official NPI Registry.