Organization Active NPI

Gratiot Family Practice PC

  • Family Medicine Physician
  • Alma, MI
National Provider Identifier
1659387488
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3822220235 Issued in MI
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

Updated by the provider on Jun 19, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1318641MedicaidMI
2772212MedicaidMI
1336031MedicaidMI
4600404MedicaidMI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.