Organization Active NPI

Bellevue Medical Services

  • Family Medicine Physician
  • Bellevue, MI
National Provider Identifier
1679795058
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WF004074 Issued in MI
Legal business name
BELLEVUE MEDICAL SERVICES
Practice address
205 N Main St
Bellevue, MI 49021-1233
Phone
(269) 763-9416
Fax
(269) 763-3770
NPI assigned
May 3, 2007
Last updated
Jun 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Dr. Waldo E Frankenstein, D.O.
Title
Physician
Phone
(269) 763-9416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WF004074 MI Primary

Addresses

Primary practice location

205 N Main St
Bellevue, MI 49021-1233

Mailing address

205 N Main St
Bellevue, MI 49021-1233
Phone (269) 763-9416

Other identifiers 1

IdentifierTypeStateIssuer
1001684MedicaidMI

National Provider Directory

National Provider Directory

Locations

205 N Main St
Bellevue, MI 49021
Phone (269) 763-9416

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1679795058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "BELLEVUE",
            "state": "MI",
            "postal_code": "490211233",
            "telephone_number": "269-763-9416",
            "fax_number": "269-763-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MAIN ST",
            "city": "BELLEVUE",
            "state": "MI",
            "postal_code": "490211233",
            "telephone_number": "269-763-9416",
            "fax_number": "269-763-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "FRANKENSTEIN",
        "authorized_official_first_name": "WALDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "269-763-9416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "WF004074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001684",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.