Organization Active NPI

Freeland Family Medicine PC

  • Family Medicine Physician
  • Freeland, MI
National Provider Identifier
1669410072
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREELAND FAMILY MEDICINE PC
Practice address
7340 Midland Rd
Freeland, MI 48623-8402
Phone
(989) 695-8014
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Walter Thad Rathkamp, M.D.
Title
Owner
Phone
(989) 695-8014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7340 Midland Rd
Freeland, MI 48623-8402

Mailing address

4449 Fashion Square Blvd
Saginaw, MI 48603-5217
Phone (989) 790-0007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1669410072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035217",
            "telephone_number": "989-790-0007",
            "fax_number": "989-790-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238402",
            "telephone_number": "989-695-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREELAND FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "RATHKAMP",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "THAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-695-8014",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.