Petoskey Family Medicine, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PETOSKEY FAMILY MEDICINE, P.C.

Practice address

1890 US 131 South
Suite 3
Petoskey, MI 49770

Phone

(231) 487-6000

Fax

(231) 487-6014

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Teresa Marie Whitley, CMA

Title

Business Manager

Phone

(231) 487-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

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.

• Scott A Hotchkiss, MD

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1518146257
  Medicare reassignment Care Compare group NPD
• Martin P Jankowski, DO

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1790834943
  Medicare reassignment Care Compare group NPD
• Samuel F Minor, MD

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1356520084
  Medicare reassignment Care Compare group NPD
• Carolyn Marie Wiese, PA

  • Physician Assistant
  • Petoskey, MI
  • NPI 1235130576
  Medicare reassignment Care Compare group
• Nicole Wolf

  • Physician Assistant
  • Sault Sainte Marie, MI
  • NPI 1104365014
  Medicare reassignment Care Compare group
• Andrea Leigh Bricker, FNP

  • Family Nurse Practitioner
  • Petoskey, MI
  • NPI 1871242743
  Medicare reassignment NPD
• Stephanie Gerathy, FNP-BC

  • Family Nurse Practitioner
  • Petoskey, MI
  • NPI 1265366900
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457475550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 US 131 SOUTH",
            "address_2": "SUITE 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-6000",
            "fax_number": "231-487-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 US 131 SOUTH",
            "address_2": "SUITE 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-6000",
            "fax_number": "231-487-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETOSKEY FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "231-487-6000",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petoskey Ear Nose & Throat Specialists PLLC
• Petoskey Ear, Nose & Throat Specialists PLLC
• Petoskey Eye Care PC
• Petoskey Family Medicine P.C.
• Petoskey Family Medicine P.C.
• Petoskey Geriatric Village, Inc (bortz health care of petoskey)
• Petoskey Hearing Aid Center
• Petoskey Opco, LLC (The Villa at the Bay)
• Petoskey Pediatrics, PC
• Petoskey Professional Counselors, LLC

• Family Medicine Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.