Family Tree Medical Associates PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY TREE MEDICAL ASSOCIATES PC

Practice address

1375 W Green St
Suite 1
Hastings, MI 49058-1718

Phone

(269) 945-7497

Fax

(269) 945-0214

NPI assigned

Nov 28, 2006

Last updated

Feb 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Troy Carlson, M.D.NPI 1396856910

Title

Co-Owner Physician

Phone

(269) 945-7497

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBDAA

Practitioners 8

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.

• Robert Troy Carlson, M.D

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1396856910
  Medicare reassignment Care Compare group NPD Authorized official
• Callan J Walcott, CFNP

  • Family Nurse Practitioner
  • Hastings, MI
  • NPI 1811362767
  Medicare reassignment Care Compare group
• Dana L Marino

  • Adult Health Nurse Practitioner
  • Santa Ana, CA
  • NPI 1295982536

  MI

  Medicare reassignment Care Compare group
• Zachary Augustine Comeau, DO

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1063096170
  Medicare reassignment NPD
• Brenda Sue Nyenhuis, FNP

  • Family Nurse Practitioner
  • Hastings, MI
  • NPI 1568573012
  Medicare reassignment NPD
• Shelli Suzanne Oesch, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Hastings, MI
  • NPI 1316613888
  Medicare reassignment NPD
• Eric Michael Smith, FNP

  • Family Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1942767470
  Medicare reassignment NPD
• David W. Mansky, D.P.M.

  • Podiatrist
  • Hastings, MI
  • NPI 1407882384
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1518033976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W GREEN ST",
            "address_2": "SUITE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581718",
            "telephone_number": "269-945-7497",
            "fax_number": "269-945-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 W GREEN ST",
            "address_2": "SUITE 1",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581718",
            "telephone_number": "269-945-7497",
            "fax_number": "269-945-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "CO-OWNER PHYSICIAN",
        "authorized_official_telephone_number": "269-945-7497",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karri Essner
• Evan Craig Wisner LLC
• Eye & ENT Specialists (Creekside Optical)
• Eye & ENT Specialists (Creekside Hearing)
• Patricia Falconer
• Adam Farrell, PA-C
• Connie Fast, BA, CAC-II, CSW
• Fay Featherly, MA, LLP
• Jessica Ferris
• Michelle Elizabeth Firlit, FNP

• Family Medicine Physician in Hastings, MI
• Providers in Hastings, 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 Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.