Organization Active NPI

Ea Medical, PLLC

  • Family Medicine Physician
  • Gaylord, MI
National Provider Identifier
1558070763
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EA MEDICAL, PLLC
Practice address
232 W Main St
Gaylord, MI 49735-1347
Phone
(989) 787-0022
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Ms. Emilyjo Rena Courterier, FNP-CNPI 1811545874
Title
Manager
Phone
(989) 787-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

232 W Main St
Gaylord, MI 49735-1347

Mailing address

135 Goslow Rd
Gaylord, MI 49735-9700
Phone (989) 787-0022

Other names 1

  • Empowered Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

232 W Main St
Gaylord, MI 49735
Phone (989) 787-0022

Practitioners & affiliated clinicians

Practitioners 1

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1558070763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GOSLOW RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359700",
            "telephone_number": "989-787-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351347",
            "telephone_number": "989-787-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "COURTERIER",
        "authorized_official_first_name": "EMILYJO",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-787-0022",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.