Mid-Michigan Family Medical Center, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301406591 Issued in MI

Legal business name

MID-MICHIGAN FAMILY MEDICAL CENTER, P.C.

Practice address

11615 Hartel Rd
Suite 108
Grand Ledge, MI 48837-9165

Phone

(517) 627-3281

Fax

(517) 627-8722

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Paul Van Ark, MDNPI 1104821438

Title

President

Phone

(517) 627-3281

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Paul Van Ark, MD

  • Family Medicine Physician
  • Grand Ledge, MI
  • NPI 1104821438
  NPD (past) Authorized official

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497793863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 HARTEL RD",
            "address_2": "SUITE 108",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379165",
            "telephone_number": "517-627-3281",
            "fax_number": "517-627-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 HARTEL RD",
            "address_2": "SUITE 108",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379165",
            "telephone_number": "517-627-3281",
            "fax_number": "517-627-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN FAMILY MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN ARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-627-3281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301406591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080B37601",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney McLaughlin, DPT
• Paige McNalley, DPT
• Megan C Meibeyer, LPC
• Meijer Inc
• Mid Michigan Oral Surgery
• Jeffrey Scott Miller, RPH
• Kristin Miller, COTA
• Amy E Mills, LPC
• Carol Ann Mills, PTA
• Mind Body & Soul Connection LLC

• Family Medicine Physician in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.