NPIMap

Organization Active NPI

Marcus K Free MD PLLC

Doing business as A Better Doc

  • Primary Care Clinic/Center
  • New Haven, MI
National Provider Identifier
1679091540
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301093347 Issued in MI
Legal business name
MARCUS K FREE MD PLLC
Doing business as
A Better Doc
Harbor Shores Medical, PLLC
Practice address
59057 Gratiot Ave
New Haven, MI 48048-2057
Phone
(810) 404-2521
Fax
(888) 414-4545
NPI assigned
Aug 31, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Marcus Kyle Free, MDNPI 1790949097
Title
Owner/President
Phone
(810) 404-2521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301093347 MI Primary

Addresses

Primary practice location

59057 Gratiot Ave
New Haven, MI 48048-2057

Mailing address

2143 Derfla Dr
Saint Joseph, MI 49085-9661
Phone (810) 404-2521

Other practice location 1

313 Main St
Saint Joseph, MI 49085-2184
Phone (810) 404-2521

Other names 2

  • A Better Doc Doing business as
  • Harbor Shores Medical, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

59057 Gratiot Ave
New Haven, MI 48048
Phone (810) 404-2521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1679091540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 DERFLA DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859661",
            "telephone_number": "810-404-2521",
            "fax_number": "888-414-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59057 GRATIOT AVE",
            "city": "NEW HAVEN",
            "state": "MI",
            "postal_code": "480482057",
            "telephone_number": "810-404-2521",
            "fax_number": "888-414-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Main St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490852184",
            "country_code": "US",
            "telephone_number": "810-404-2521",
            "fax_number": "888-414-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARCUS K FREE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "810-404-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301093347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Better Doc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Shores Medical, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.