Professional Health & Medical Services, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301405603 Issued in MI

Legal business name

PROFESSIONAL HEALTH & MEDICAL SERVICES, P.C.

Practice address

720 4TH St
Lapeer, MI 48446-1447

Phone

(810) 664-8523

Fax

(810) 664-8523

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Russell L Bush, MDNPI 1144287798

Title

President

Phone

(810) 208-5222

Specialties & licenses 1

Addresses

Other names 1

• Professional Health & Medical Services Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Leslie Bush, M.D., M.P.H.

  • Adolescent Medicine (Family Medicine) Physician
  • Grand Blanc, MI
  • NPI 1144287798
  NPD (past) Authorized official

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1568699239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 4TH ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461447",
            "telephone_number": "810-664-8523",
            "fax_number": "810-664-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 4TH ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461447",
            "telephone_number": "810-664-8523",
            "fax_number": "810-664-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH & MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-208-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301405603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Health & Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adriana Prill, BCABA
• Paul Primel Jr., SW
• Ellarie Prince
• Pro-Hearing Center, Inc.
• Professional Foot and Ankle Centers, PC
• Kimberly Ann Proffer, PHARMD, RPH
• Christina Proffitt
• Lauren Prokopy, LMSW
• Allyson Marie Przekora, M.S., BCBA, LBA
• Christian James Przybysz, MSW

• Family Medicine Physician in Lapeer, MI
• Providers in Lapeer, 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 Jun 19, 2009; 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.