Active NPI
Carol J Prinzo, NP
- Obstetrics & Gynecology Physician
- Midland, MI
National Provider Identifier
1669517314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- CP126664
- Practice address
- 4320 Campus Ridge Drive
Midland, MI 48640 - Phone
- (989) 837-9047
- Fax
- (989) 839-1840
- NPI assigned
- Feb 20, 2007
- Last updated
- Nov 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | CP126664 | MI | Primary |
Addresses
Primary practice location
4320 Campus Ridge Drive
Midland, MI 48640
Mailing address
4320 Campus Ridge Drive
Midland, MI 48640
Phone (989) 837-9047
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383516078 | Other | MI | DR'S TAX ID |
| 500G310970 | Other | MI | BCBS # |
| 104289552 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP126664 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Briarwood Behavioral Health PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Saginaw, MI
- NPI 1083074181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1669517314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 CAMPUS RIDGE DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-837-9047",
"fax_number": "989-839-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 CAMPUS RIDGE DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-837-9047",
"fax_number": "989-839-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZO",
"first_name": "CAROL",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "CP126664",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR'S TAX ID",
"identifier": "383516078",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "500G310970",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104289552",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.