Suttons Bay Medical Clinic, PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUTTONS BAY MEDICAL CLINIC, PLC

Practice address

93B Fourth St
Suttons Bay, MI 49682-0397

Phone

(231) 271-5990

Fax

(231) 271-5959

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Thomas G Lammy, MD

Title

Member

Phone

(231) 271-5990

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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

• Jimmy Mistry, M. D.

  • Gynecology Physician
  • Suttons Bay, MI
  • NPI 1730208810
  NPD
• Kelly Ann O'Sullivan, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Vancouver, WA
  • NPI 1750332474
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1497868111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93B FOURTH ST",
            "address_2": "PO BOX 397",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820397",
            "telephone_number": "231-271-5990",
            "fax_number": "231-271-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93B FOURTH ST",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820397",
            "telephone_number": "231-271-5990",
            "fax_number": "231-271-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTONS BAY MEDICAL CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "LAMMY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "231-271-5990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "700D510020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700D510020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "0N19510",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982653242",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588612972",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip W Siemer, MD
• Andrea Dugan Skrocki, APRN
• Rosalyn Stringer, APRN, PMHNP-BC
• Suttons Bay Bingham Fire Rescue
• Suttons Bay Dental Center PLLC
• Suttons Bay Urgent Care Center
• Suttons Bay-Bingham Fire & Rescue Authority
• T.L.Mikesell DDS, PC
• Tendercare (Michigan) Inc.
• The Prescription Shop of Suttons Bay, Inc

• Clinic/Center in Suttons Bay, MI
• Providers in Suttons Bay, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.