Active NPI
North Forest Family Practice, PLLC
- Family Medicine Physician
- Manistee, MI
National Provider Identifier
1336657139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH FOREST FAMILY PRACTICE, PLLC
- Practice address
- 428 1St St
Manistee, MI 49660-1595 - Phone
- (231) 299-1500
- Fax
- (866) 340-7475
- NPI assigned
- Jan 15, 2018
- Last updated
- Jan 15, 2018
- 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
- Henry Youga, MD
- Title
- Ceo
- Phone
- (517) 610-2078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
428 1St St
Manistee, MI 49660-1595
Mailing address
428 1St St
Manistee, MI 49660-1595
National Provider Directory
National Provider DirectoryPractitioners & 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
- Manistee, MI
- NPI 1144286857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515974400000",
"number": "1336657139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 1ST ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496601595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 1ST ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496601595",
"telephone_number": "231-299-1500",
"fax_number": "866-340-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FOREST FAMILY PRACTICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A",
"authorized_official_last_name": "YOUGA",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "517-610-2078",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manistee, MI
- Munson Healthcare Manistee Hospital (Munson Healthcare-Manistee Family Care)
- Laura-Jane C. Murphy, PSY.D.
- Gwendolyn A Nelson, PT,NCTMB,CLT
- Julia Nelson, MDIV, MS, LPC
- Rebecca Nickleson
- Northern Grace Home Support LLC
- Northern Lights Radiology P C
- Northwest Michigan Health Services
- Northwest Michigan Health Services
- Northwest Michigan Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.