Troy Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SS072019 Issued in MI

Legal business name

TROY FAMILY PRACTICE PLLC

Practice address

2041 E Square Lake Rd
Suite 300
Troy, MI 48085

Phone

(248) 813-0124

Fax

(248) 879-0148

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Stacey Beltz, DONPI 1225007255

Title

Physician

Phone

(248) 813-0124

Specialties & licenses 1

Addresses

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Beltz, D.O.

  • Family Medicine Physician
  • Troy, MI
  • NPI 1225007255
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Mobley, NP-C

  • Primary Care Nurse Practitioner
  • Troy, MI
  • NPI 1033883947
  Medicare reassignment Care Compare group NPD
• Kimberly Anne Fox, FNP-C

  • Family Nurse Practitioner
  • Troy, MI
  • NPI 1013577907
  Care Compare group NPD
• Jill R Hutchings, MD

  • Family Medicine Physician
  • Troy, MI
  • NPI 1205810934
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1366465270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 E SQUARE LAKE RD.",
            "address_2": "SUITE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-813-0124",
            "fax_number": "248-879-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 E SQUARE LAKE RD",
            "address_2": "SUITE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "248-813-0124",
            "fax_number": "248-879-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BELTZ",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-813-0124",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SS072019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy City Pharmacy Inc
• Troy Cosmetic and Implant Dental Center PLLC
• Troy Denal Care
• Troy Distribution, Inc
• Troy Family Dentistry PLLC
• Troy Foot and Ankle PC
• Troy Foot and Ankle PC
• Troy Gastroenterology, PC
• Troy Group Dental Associates PLLC
• Troy Home Care Services, Inc

• Family Medicine Physician in Troy, MI
• Providers in Troy, 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 Jun 19, 2024; 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.