Red Arrow Family Practice

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

009859 Issued in MI

Legal business name

RED ARROW FAMILY PRACTICE

Practice address

6500 Red Arrow Hwy
Coloma, MI 49038-8700

Phone

(269) 468-4100

Fax

(269) 468-3334

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By 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

Dr. Michael E Mayle, DONPI 1851403307

Title

Owner

Phone

(269) 468-4100

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Michael E Mayle, D.O.

  • Family Medicine Physician
  • Coloma, MI
  • NPI 1851403307
  NPD (past) Authorized official
• Alexander Runowski, M.D.

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1154439339
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1457540908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388700",
            "telephone_number": "269-468-4100",
            "fax_number": "269-468-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 RED ARROW HWY",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388700",
            "telephone_number": "269-468-4100",
            "fax_number": "269-468-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ARROW FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MAYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-468-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "009859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orrison Rehabilitation Services, LLC (Tri-City Physical Therapy)
• Josefina Pena-Ogando, LCSW
• Jeffrey T Postma, DO
• Michelle Lynn Powell, NP
• Ruben S Ramdeo
• Red Arrow Medical Clinic PC
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04239)
• Shanna R Rodgers, MA
• Jaime Rodriguez, M.D.
• Ruth Lee Center for Healing and Growth

• General Practice Physician in Coloma, MI
• Providers in Coloma, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.