Organization Active NPI

Flushing Family Care PC

  • Family Medicine Physician
  • Flushing, MI
National Provider Identifier
1609058627
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301044793 Issued in MI
Legal business name
FLUSHING FAMILY CARE PC
Practice address
6429 W Pierson Rd
Flushing, MI 48433-2396
Phone
(810) 659-4400
Fax
(810) 659-4467
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Kim Hendrick, MD
Title
Owner
Phone
(810) 659-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301044793 MI Primary

Addresses

Primary practice location

6429 W Pierson Rd
Flushing, MI 48433-2396

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0978549Flushing Family Care, PC6429 W Pierson Road, Suite 12, Flushing, MI 48433Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

6429 W Pierson Rd
Ste 12
Flushing, MI 48433
Phone (810) 659-4400

6429 W Pierson Rd
Flushing, MI 48433
Phone (810) 659-4400

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1609058627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332396",
            "telephone_number": "810-659-4400",
            "fax_number": "810-659-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-659-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301044793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.