NPIMap

Organization Active NPI

Willis F Gaffney M.D. P.C.

  • Rural Health Clinic/Center
  • Stanton, MI
National Provider Identifier
1396369906
Registry record updated May 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WILLIS F GAFFNEY M.D. P.C.
Practice address
2939 S Sheridan Rd
Stanton, MI 48888-9285
Phone
(989) 831-9009
Fax
(989) 607-6875
NPI assigned
May 31, 2020
Last updated
May 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2020

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

Authorized official

Name
Alexandrine Brown
Title
Office Manager
Phone
(989) 831-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

2939 S Sheridan Rd
Stanton, MI 48888-9285

Mailing address

2939 S Sheridan Rd
Stanton, MI 48888-9285
Phone (989) 831-9009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590883200000",
    "number": "1396369906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 S SHERIDAN RD",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889285",
            "telephone_number": "989-831-9009",
            "fax_number": "989-607-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 S SHERIDAN RD",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889285",
            "telephone_number": "989-831-9009",
            "fax_number": "989-607-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS F GAFFNEY M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALEXANDRINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-831-9009"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.