Organization Active NPI

Charlevoix Physicians Clinic

  • Specialist
  • Charlevoix, MI
National Provider Identifier
1508229980
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301049260 Issued in MI
Legal business name
CHARLEVOIX PHYSICIANS CLINIC
Practice address
14709 W. Upright
Charlevoix, MI 49720
Phone
(231) 547-6519
NPI assigned
Apr 1, 2016
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Janet Talmo, MD
Title
Family Practitioner
Phone
(231) 547-6519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301049260 MI Primary

Addresses

Primary practice location

14709 W. Upright
Charlevoix, MI 49720

Mailing address

14709 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-6519

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1508229980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 W UPRIGHT ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201949",
            "telephone_number": "231-547-6519",
            "fax_number": "231-547-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14709 W. UPRIGHT",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "49720",
            "telephone_number": "231-547-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEVOIX PHYSICIANS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "TALMO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "FAMILY PRACTITIONER",
        "authorized_official_telephone_number": "231-547-6519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301049260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.