Organization Active NPI

Prime Home Visit & Telemedicine Services PLLC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1558810077
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301104304 Issued in MI
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

Updated by the provider on Feb 5, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.