Organization Active NPI

Parkway Family Medicine PLLC

  • Family Medicine Physician
  • Fenton, MI
National Provider Identifier
1497880249
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARKWAY FAMILY MEDICINE PLLC
Practice address
17200 Silver Pkwy
Fenton, MI 48430-3423
Phone
(810) 714-9660
Fax
(810) 714-9661
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Paul Garson
Title
Cfo
Phone
(810) 424-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary

Addresses

Primary practice location

17200 Silver Pkwy
Fenton, MI 48430-3423

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007

National Provider Directory

National Provider Directory

Locations

6672 Solutions Ctr
Chicago, IL 60677

Interoperability endpoints

  • Direct secure messaging: chrisharrison@pfmc.allscriptsdirect.net
  • Direct secure messaging: jefferybossenberger@pfmc.allscriptsdirect.net
  • Direct secure messaging: melissalittell@pfmc.allscriptsdirect.net

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1497880249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303423",
            "telephone_number": "810-714-9660",
            "fax_number": "810-714-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "GARSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-424-2007"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.