NPIMap

Organization Active NPI

C Bazo Group, PLLC

  • Internal Medicine Physician
  • Port Huron, MI
National Provider Identifier
1376846162
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
C BAZO GROUP, PLLC
Practice address
1641 10TH St
Suite B
Port Huron, MI 48060-5844
Phone
(810) 987-7200
Fax
(810) 987-5396
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Lee Ann Schinkel
Title
Office Manager
Phone
(810) 987-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1641 10TH St
Suite B
Port Huron, MI 48060-5844

Mailing address

PO Box 595466
Fort Gratiot, MI 48059-5466
Phone (810) 987-7200

National Provider Directory

National Provider Directory

Locations

1641 10th St
Ste B
Port Huron, MI 48060
Phone (810) 987-7200

1641 10th St
#B
Port Huron, MI 48060
Phone (810) 987-7200

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1376846162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595466",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480595466",
            "telephone_number": "810-987-7200",
            "fax_number": "810-987-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 10TH ST",
            "address_2": "SUITE B",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605844",
            "telephone_number": "810-987-7200",
            "fax_number": "810-987-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C BAZO GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "SCHINKEL",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-987-7200"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.