Organization Active NPI

Sheila Gendich M D PLC

  • Family Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1477702744
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301058189 Issued in MI
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

Updated by the provider on Sep 11, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.