Active NPI
Sheila Gendich M D PLC
- Family Medicine Physician
- Saint Johns, MI
National Provider Identifier
1477702744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301058189
- Legal business name
- SHEILA GENDICH M D PLC
- Practice address
- 1207 N US Highway 27
Saint Johns, MI 48879-1139 - Phone
- (989) 227-9902
- Fax
- (989) 227-9911
- NPI assigned
- Sep 11, 2008
- 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
- Julie Tysick
- Title
- Biller
- Phone
- (248) 627-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301058189 | MI | Primary |
Addresses
Primary practice location
1207 N US Highway 27
Saint Johns, MI 48879-1139
Mailing address
PO Box 99
Saint Johns, MI 48879-0099
Phone (989) 227-9902
National Provider Directory
National Provider DirectoryLocations
1207 N US Highway 27
Saint Johns, MI 48879
Phone (989) 227-1100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1245203645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1477702744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488790099",
"telephone_number": "989-227-9902",
"fax_number": "989-227-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 N US HIGHWAY 27",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488791139",
"telephone_number": "989-227-9902",
"fax_number": "989-227-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEILA GENDICH M D PLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "TYSICK",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "248-627-8881"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301058189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.