NPIMap

Organization Active NPI

Cornell Health and Wellness

Doing business as Central michigan urgent care

  • Physician Assistant
  • Mt Pleasant, MI
National Provider Identifier
1497816342
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003457 Issued in MI
Legal business name
CORNELL HEALTH AND WELLNESS
Doing business as
Central michigan urgent care
Practice address
520 N Mission St
Mt Pleasant, MI 48858-1828
Phone
(989) 773-3789
Fax
(989) 773-0558
NPI assigned
Dec 13, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Clint James Cornell, PA
Title
Owner
Phone
(989) 773-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601003457 MI Primary

Addresses

Primary practice location

520 N Mission St
Mt Pleasant, MI 48858-1828

Mailing address

520 N Mission St
Mt Pleasant, MI 48858-1828
Phone (989) 773-3789

Other names 1

  • Central michigan urgent care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1497816342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581828",
            "telephone_number": "989-773-3789",
            "fax_number": "989-773-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488581828",
            "telephone_number": "989-773-3789",
            "fax_number": "989-773-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-3789",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central michigan urgent care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.