Organization Active NPI

Medpartners, P.L.C.

  • Internal Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1407071038
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDPARTNERS, P.L.C.
Practice address
2480 W Campus Dr
Building B, Suite 300
Mt Pleasant, MI 48858-5414
Phone
(989) 779-7200
Fax
(989) 779-7100
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Maria Liza Laynes, M.D.NPI 1649270299
Title
Office Manager
Phone
(989) 779-7200

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

Addresses

Primary practice location

2480 W Campus Dr
Building B, Suite 300
Mt Pleasant, MI 48858-5414

Mailing address

2480 W Campus Dr
Building B, Suite 300
Mt Pleasant, MI 48858-5414
Phone (989) 779-7200

Other identifiers 1

IdentifierTypeStateIssuer
110C710130OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000231 MI Part B Supplier - Clinic/Group Practice 6204987878 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, MI

National Provider Directory

National Provider Directory

Locations

2480 W Campus Dr
Ste B
Mount Pleasant, MI 48858

2480 W Campus Dr
Ste 300
Mount Pleasant, MI 48858

2480 W Campus Dr
Ste B300
Mt Pleasant, MI 48858
Phone (989) 779-7200

2480 W Campus Dr
Mt Pleasant, MI 48858
Phone (989) 772-1609

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1407071038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 W CAMPUS DR",
            "address_2": "BUILDING B, SUITE 300",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585414",
            "telephone_number": "989-779-7200",
            "fax_number": "989-779-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 W CAMPUS DR",
            "address_2": "BUILDING B, SUITE 300",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585414",
            "telephone_number": "989-779-7200",
            "fax_number": "989-779-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPARTNERS, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "LAYNES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LIZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-779-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110C710130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.