Active NPI
BCHS North Avenue
- Internal Medicine Physician
- Battle Creek, MI
National Provider Identifier
1578730321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DB057402
- Legal business name
- BCHS NORTH AVENUE
- Practice address
- 632 North Ave
Battle Creek, MI 49017-3249 - Phone
- (269) 969-6145
- Fax
- (269) 969-6133
- NPI assigned
- May 12, 2008
- Last updated
- May 12, 2008
- 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
- Mrs. Judy A Turner
- Title
- Practice Manager
- Phone
- (269) 969-6145
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | MB137196 | MI | |
| Adult Health Nurse Practitioner | 363LA2200X | VK211652 | MI | |
| Internal Medicine Physician | 207R00000X | TP068448 | MI | |
| Internal Medicine Physician | 207R00000X | DB057402 | MI | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | RK031921 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | SA075754 | MI |
Addresses
Primary practice location
632 North Ave
Battle Creek, MI 49017-3249
Mailing address
632 North Ave
Battle Creek, MI 49017-3249
Phone (269) 969-6145
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4935881 | Medicaid | MI | |
| 3486029 | Medicaid | MI | |
| 1202010 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1578730321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173249",
"telephone_number": "269-969-6145",
"fax_number": "269-969-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 NORTH AVE",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173249",
"telephone_number": "269-969-6145",
"fax_number": "269-969-6133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BCHS NORTH AVENUE",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "269-969-6145",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "MB137196",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "VK211652",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "TP068448",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "DB057402",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "RK031921",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "SA075754",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4935881",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3486029",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1202010",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.