Active NPI
McLaren Flint
- Cardiovascular Disease Physician
- Flint, MI
National Provider Identifier
1457682247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MCLAREN FLINT
- Practice address
- 401 S Ballenger Hwy
Flint, MI 48532 - Phone
- (810) 342-2000
- NPI assigned
- Jan 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fred Korte
- Title
- Cfo
- Phone
- (810) 342-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
401 S Ballenger Hwy
Flint, MI 48532
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510001313 | MI | Part B Supplier - Clinic/Group Practice | 8628975497 |
Receives reassigned benefits from 4 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Flint, MI |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1457682247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "48532",
"telephone_number": "810-342-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLAREN FLINT",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "KORTE",
"authorized_official_first_name": "FRED",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "810-342-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.