South Lyon Family Docs PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101016493 Issued in MI

Legal business name

SOUTH LYON FAMILY DOCS PC

Practice address

26006 Pontiac TRL
South Lyon, MI 48178-8050

Phone

(248) 437-5613

Fax

(248) 437-5694

NPI assigned

Apr 1, 2011

Last updated

Jun 1, 2016By 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

Brandy Eberhardt, D.O.NPI 1871705129

Title

Physician

Phone

(248) 437-5613

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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.

• Brandy Eberhardt, DO

  • Family Medicine Physician
  • South Lyon, MI
  • NPI 1871705129
  Medicare reassignment Care Compare group NPD Authorized official
• Micah Scharer, DO

  • Family Medicine Physician
  • South Lyon, MI
  • NPI 1952513210
  Medicare reassignment Care Compare group NPD
• Morgan A Covington, PA-C

  • Medical Physician Assistant
  • South Lyon, MI
  • NPI 1407244817
  Medicare reassignment

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1619266442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26006 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26006 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788050",
            "telephone_number": "248-437-5613",
            "fax_number": "248-437-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LYON FAMILY DOCS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "EBERHARDT",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-437-5613",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Smyte, LLMSW MS MFA
• Yvonne Marie Snyder, DDS
• South Lyon Chiropractic PLLC
• South Lyon Dental Group, P.L.C.
• South Lyon Dermatology, PC
• South Lyon Family Physicians, PLLC
• South Lyon Foot & Ankle Specialists, P.C.
• South Lyon Orthodontics, PC
• South Lyon Pediatric Dentistry PLLC
• South Lyon Pharmacy LLC (South Lyon Pharmacy)

• Family Medicine Physician in South Lyon, MI
• Providers in South Lyon, 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 1, 2016; 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.