Organization Active NPI

Fowler Osteopathic Clinic P.C./Lyons Clinic of Family Medicine

  • Family Medicine Physician
  • Fowler, MI
National Provider Identifier
1467407932
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOWLER OSTEOPATHIC CLINIC P.C./LYONS CLINIC OF FAMILY MEDICINE
Practice address
11017 W. Third Street
Box 19
Fowler, MI 48835
Phone
(989) 593-2525
Fax
(989) 593-3385
NPI assigned
May 23, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Douglas W Poff, D.O.NPI 1013972819
Title
Physician/Officer
Phone
(989) 593-2525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

11017 W. Third Street
Box 19
Fowler, MI 48835

Mailing address

11017 W. Third Street
Box 19
Fowler, MI 48835
Phone (989) 593-2525

National Provider Directory

National Provider Directory

Locations

11017 W 3rd St
#19
Fowler, MI 48835
Phone (989) 593-2525

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1467407932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 W. THIRD STREET",
            "address_2": "BOX 19",
            "city": "FOWLER",
            "state": "MI",
            "postal_code": "48835",
            "telephone_number": "989-593-2525",
            "fax_number": "989-593-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 W. THIRD STREET",
            "address_2": "BOX 19",
            "city": "FOWLER",
            "state": "MI",
            "postal_code": "48835",
            "telephone_number": "989-593-2525",
            "fax_number": "989-593-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER OSTEOPATHIC CLINIC P.C./LYONS CLINIC OF FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "POFF",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/OFFICER",
        "authorized_official_telephone_number": "989-593-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.