Active NPI
Gratiot Family Practice PC
- Family Medicine Physician
- Alma, MI
National Provider Identifier
1659387488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3822220235
- Legal business name
- GRATIOT FAMILY PRACTICE PC
- Practice address
- 160 E Warwick Dr
Alma, MI 48801-1010 - Phone
- (989) 463-3101
- NPI assigned
- Aug 1, 2006
- 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
- Dr. Vicki E Chessin, M.D.
- Title
- Medical Physcian
- Phone
- (989) 463-3101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3822220235 | MI | Primary |
Addresses
Primary practice location
160 E Warwick Dr
Alma, MI 48801-1010
Mailing address
160 E Warwick Dr
Alma, MI 48801-1010
Phone (989) 463-3101
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1318641 | Medicaid | MI | |
| 2772212 | Medicaid | MI | |
| 1336031 | Medicaid | MI | |
| 4600404 | 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": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245369600000",
"number": "1659387488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011010",
"telephone_number": "989-463-3101",
"fax_number": "989-463-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E WARWICK DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488011010",
"telephone_number": "989-463-3101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRATIOT FAMILY PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2009-06-19",
"status": "A",
"authorized_official_last_name": "CHESSIN",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEDICAL PHYSCIAN",
"authorized_official_telephone_number": "989-463-3101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "3822220235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1318641",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2772212",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336031",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4600404",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.