Active NPI
Quick Care Family Medical Center PC
- General Practice Physician
- Petoskey, MI
National Provider Identifier
1518145309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- GL053321
- Legal business name
- QUICK CARE FAMILY MEDICAL CENTER PC
- Practice address
- 116 W Mitchell St
Petoskey, MI 49770-2324 - Phone
- (231) 348-2828
- Fax
- (231) 348-9609
- NPI assigned
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gustav J Lo, M.D.
- Title
- Medical Director
- Phone
- (231) 348-2828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | GL053321 | MI | Primary |
Addresses
Primary practice location
116 W Mitchell St
Petoskey, MI 49770-2324
Mailing address
116 W Mitchell St
Petoskey, MI 49770-2324
Phone (231) 348-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5176052 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1249 S M 75
Boyne City, MI 49712
Phone (231) 582-1515
116 W Mitchell St
Ste 1
Petoskey, MI 49770
Phone (231) 348-2828
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Harbor Springs, MI
- NPI 1376848515
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1902825714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1518145309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 W MITCHELL ST",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702324",
"telephone_number": "231-348-2828",
"fax_number": "231-348-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W MITCHELL ST",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702324",
"telephone_number": "231-348-2828",
"fax_number": "231-348-9609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICK CARE FAMILY MEDICAL CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-05",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "LO",
"authorized_official_first_name": "GUSTAV",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "231-348-2828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MI",
"license": "GL053321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5176052",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.