Ann Arbor Family Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KE406952 Issued in MI

Legal business name

ANN ARBOR FAMILY CARE, PLLC

Practice address

955 W Eisenhower Cir
Ste D
Ann Arbor, MI 48103-5868

Phone

(734) 747-8500

Fax

(734) 747-8547

NPI assigned

Apr 16, 2008

Last updated

Nov 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karl Julius Edelmann, M.D.NPI 1285632216

Title

Owner

Phone

(734) 747-8500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karl Julius Edelmann, MD

  • Family Medicine Physician
  • Ann Arbor, MI
  • NPI 1285632216
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1568636983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W EISENHOWER CIR",
            "address_2": "STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035868",
            "telephone_number": "734-747-8500",
            "fax_number": "734-747-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W EISENHOWER CIR",
            "address_2": "STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035868",
            "telephone_number": "734-747-8500",
            "fax_number": "734-747-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "EDELMANN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-747-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KE406952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435227010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "0808108511",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ann Arbor Family Dental
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• Ann Arbor Home Health, Incorporated
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• Family Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.