Family Physicians of St. Joseph, P.C.

Key facts

NPI

1407985385

Entity type

Organization (NPI type 2)

Primary specialty

Family Medicine Physician 207Q00000X

Legal business name

FAMILY PHYSICIANS OF ST. JOSEPH, P.C.

Practice address

2500 Niles Rd
Suite 1
Saint Joseph, MI 49085-3237

Phone

(269) 429-5000

Fax

(269) 429-2598

NPI assigned

Mar 5, 2007

Organization subpart

No

Authorized official

Name

Dr. John Martin Proos III, M.D.

Title

Physician

Phone

(269) 429-5000

Practitioners 2

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

• Sarah Broski Gendernalik, DO General Practice Physician · St Joseph, MI · NPI 1316141195
  NPD
• Brendan Barnes Family Medicine Physician · Lansing, MI · NPI 1073018917
  NPD (past) FAMILY MEDICINE

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407985385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NILES RD",
            "address_2": "SUITE 1",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853237",
            "telephone_number": "269-429-5000",
            "fax_number": "269-429-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NILES RD",
            "address_2": "SUITE 1",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853237",
            "telephone_number": "269-429-5000",
            "fax_number": "269-429-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF ST. JOSEPH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "269-429-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Saint Joseph, MI · Family Medicine Physician in Michigan