Organization Active NPI

Leelanau Urgent Care, PC

  • General Practice Physician
  • Suttons Bay, MI
National Provider Identifier
1518383678
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LEELANAU URGENT CARE, PC
Practice address
650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587
Phone
(231) 271-6511
Fax
(231) 271-6519
NPI assigned
Mar 13, 2014
Last updated
Apr 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
David L Lemak, MD
Title
President
Phone
(231) 271-6511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587

Mailing address

650 S West Bay Shore Dr
Suttons Bay, MI 49682-9587
Phone (231) 271-6511

Other identifiers 2

IdentifierTypeStateIssuer
1699924951OtherJOHN DUNN, MD NPI
4500089MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Leelanau Diagnostic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1518383678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S WEST BAY SHORE DR",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829587",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELANAU URGENT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "LEMAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-271-6511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DUNN, MD NPI",
            "identifier": "1699924951",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4500089",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.