Organization Active NPI

Persson Internal Medicine,P.C

  • Internal Medicine Physician
  • Ludington, MI
National Provider Identifier
1669504882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1155300024 Issued in MI
Legal business name
PERSSON INTERNAL MEDICINE,P.C
Practice address
5 N Atkinson Dr
Suite #207
Ludington, MI 49431-2918
Phone
(231) 843-3600
Fax
(231) 845-9887
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C Persson, D.O.
Title
Owner,Physician
Phone
(231) 843-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1155300024 MI Primary

Addresses

Primary practice location

5 N Atkinson Dr
Suite #207
Ludington, MI 49431-2918

Mailing address

5 N Atkinson Dr
Suite #207
Ludington, MI 49431-2918
Phone (231) 843-3600

National Provider Directory

National Provider Directory

Locations

5 Atkinson Dr
Ste 207
Ludington, MI 49431
Phone (231) 843-3600

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669504882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N ATKINSON DR",
            "address_2": "SUITE #207",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312918",
            "telephone_number": "231-843-3600",
            "fax_number": "231-845-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N ATKINSON DR",
            "address_2": "SUITE #207",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312918",
            "telephone_number": "231-843-3600",
            "fax_number": "231-845-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSSON INTERNAL MEDICINE,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERSSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER,PHYSICIAN",
        "authorized_official_telephone_number": "231-843-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "1155300024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.