Organization Active NPI

David B. Munro MDPC

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1518089127
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DM041794 Issued in MI
Legal business name
DAVID B. MUNRO MDPC
Practice address
500 Lansing Ave
Jackson, MI 49201-2820
Phone
(517) 787-7805
Fax
(517) 787-1611
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Lori Munro
Title
Office Manager
Phone
(517) 787-7805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DM041794 MI Primary

Addresses

Primary practice location

500 Lansing Ave
Jackson, MI 49201-2820

Mailing address

500 Lansing Ave
Jackson, MI 49201-2820
Phone (517) 787-7805

National Provider Directory

National Provider Directory

Locations

500 Lansing Ave
Jackson, MI 49201
Phone (517) 787-6907

Practitioners & affiliated clinicians

Practitioners 3

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1518089127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012820",
            "telephone_number": "517-787-7805",
            "fax_number": "517-787-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012820",
            "telephone_number": "517-787-7805",
            "fax_number": "517-787-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. MUNRO MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "MUNRO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-787-7805"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DM041794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.