NPIMap

Organization Active NPI

Critical Care Pulmonary Medicine, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Battle Creek, MI
National Provider Identifier
1679520712
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
CRITICAL CARE PULMONARY MEDICINE, PC
Practice address
363 Fremont St
Suite 100
Battle Creek, MI 49017-3389
Phone
(269) 969-6100
Fax
(269) 969-6102
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Stacy Elaine Roberts V
Title
Practice Manager
Phone
(269) 969-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

363 Fremont St
Suite 100
Battle Creek, MI 49017-3389

Mailing address

363 Fremont St
Suite 100
Battle Creek, MI 49017-3389
Phone (269) 969-6100

National Provider Directory

National Provider Directory

Locations

3600 Capital Ave SW
Ste 201
Battle Creek, MI 49015
Phone (269) 979-5100

165 Washington Ave N
Battle Creek, MI 49037
Phone (269) 245-3676

1717 Shaffer St
Ste 102
Kalamazoo, MI 49048
Phone (269) 383-6920

1717 Shaffer St
Ste 111
Kalamazoo, MI 49048
Phone (269) 344-0230

565 General Ave
Springfield, MI 49037
Phone (269) 968-3365

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1679520712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6100",
            "fax_number": "269-969-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6100",
            "fax_number": "269-969-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE PULMONARY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "269-969-6100",
        "authorized_official_name_suffix": "V"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.