Active NPI
Prime Home Visit & Telemedicine Services PLLC
- Family Medicine Physician
- Saginaw, MI
National Provider Identifier
1558810077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301104304
- Legal business name
- PRIME HOME VISIT & TELEMEDICINE SERVICES PLLC
- Practice address
- 3175 Christy Way S
Ste 1
Saginaw, MI 48603-2210 - Phone
- (989) 401-7000
- NPI assigned
- Sep 26, 2016
- 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
- Kellie Swartz, CEO
- Title
- Ceo
- Phone
- (989) 791-2455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301104304 | MI | Primary |
Addresses
Primary practice location
3175 Christy Way S
Ste 1
Saginaw, MI 48603-2210
Mailing address
3175 Christy Way S Ste 1
Saginaw, MI 48603-2210
Phone (989) 401-7000
National Provider Directory
National Provider DirectoryLocations
3085 Hallmark Ct
Ste 3
Saginaw, MI 48603
Phone (989) 401-7600
3175 Christy Way S
Ste 1
Saginaw, MI 48603
Phone (989) 401-7000
Interoperability endpoints
- https://api.platform.athenahealth.com/14959/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517788800000",
"number": "1558810077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 CHRISTY WAY S STE 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032210",
"telephone_number": "989-401-7000",
"fax_number": "989-791-1392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 CHRISTY WAY S",
"address_2": "STE 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032210",
"telephone_number": "989-401-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HOME VISIT & TELEMEDICINE SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-26",
"last_updated": "2018-02-05",
"status": "A",
"authorized_official_last_name": "SWARTZ",
"authorized_official_first_name": "KELLIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-791-2455",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301104304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.