Northwoods Internal Medicine, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101011670 Issued in MI

Legal business name

NORTHWOODS INTERNAL MEDICINE, P.C.

Practice address

312 M 55 W
Tawas City, MI 48763-9253

Phone

(989) 362-9551

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Joseph J Vanderveen, DO

Title

Owner

Phone

(989) 362-9551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1629018494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032267",
            "telephone_number": "989-791-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 M 55 W",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639253",
            "telephone_number": "989-362-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "VANDERVEEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-362-9551",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymichigan Medical Center Tawas
• Mymichigan Medical Center Tawas
• Mymichigan Medical Center Tawas
• Mymichigan Medical Center Tawas
• Nikki Leclair
• Stacey Ann Nutter-Bear, LLPC
• Casey Lynn Odell, P.T.
• Christopher J Oravitz, M.D.
• Orthopedic Solutions of Northern Michigan
• Erin Leslie Osborn, ANP-C

• Internal Medicine Physician in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.