Family Medicine Associates of Midland, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE ASSOCIATES OF MIDLAND, P.C.

Practice address

885 E Railway St
Coleman, MI 48618-9580

Phone

(989) 465-6163

Fax

(989) 465-1121

NPI assigned

Mar 15, 2006

Last updated

Oct 4, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

FAMILY MEDICINE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Kathryn Ledergerber

Title

Office Administrator

Phone

(989) 631-9515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Medicine Associates of Midland, P.C.

  • Pediatrics Physician
  • Midland, MI
  • NPI 1033188735

  O20041016000123

  Same enrollment

Part of

Family Medicine Associa

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.

• Jennifer Christine Maxam Fenner, D.O.

  • Pediatrics Physician
  • Midland, MI
  • NPI 1679542922
  NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1619946373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E RAILWAY ST",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486189580",
            "telephone_number": "989-465-6163",
            "fax_number": "989-465-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 E RAILWAY ST",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486189580",
            "telephone_number": "989-465-6163",
            "fax_number": "989-465-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES OF MIDLAND, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MEDICINE ASSOCIATES",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LEDERGERBER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "989-631-9515"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kyle D Devrieze, LPT
• David Foor
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• Glci
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• Family Medicine Physician in Coleman, MI
• Providers in Coleman, 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 Oct 4, 2010; 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.