Organization Active NPI

Northport Medical Clinic PLLC

  • Family Medicine Physician
  • Northport, MI
National Provider Identifier
1407376841
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTHPORT MEDICAL CLINIC PLLC
Practice address
301 N Mill St
Northport, MI 49670-5009
Phone
(231) 386-7147
Fax
(231) 386-7192
NPI assigned
Jun 27, 2017
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Jason Michael Ziter, PA
Title
Owner
Phone
(231) 386-7147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

301 N Mill St
Northport, MI 49670-5009

Mailing address

PO Box 939
Northport, MI 49670-0939
Phone (231) 386-7147

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1407376841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "496700939",
            "telephone_number": "231-386-7147",
            "fax_number": "231-386-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MILL ST",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "496705009",
            "telephone_number": "231-386-7147",
            "fax_number": "231-386-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "ZITER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-386-7147",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.