Medcare, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704287416 Issued in MI

Legal business name

MEDCARE, INC

Practice address

2243 E 12 Mile Rd
Warren, MI 48092-5644

Phone

(586) 573-8100

NPI assigned

Jun 5, 2014

Last updated

Jun 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Pispidikis, NP-C, DCNPI 1497708200

Title

Administrator

Phone

(586) 573-8100

Specialties & licenses 1

Addresses

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.

• John Pispidikis, NP-C, DC, DACNB

  • Nurse Practitioner
  • Warren, MI
  • NPI 1497708200
  NPD Authorized official

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1679986814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925644",
            "telephone_number": "586-573-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "PISPIDIKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-573-8100",
        "authorized_official_credential": "NP-C, DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704287416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Care Coordinators, Inc.
• Medical Center Opticians
• Medical Direct Transportation LLC
• Medical Speciality Group PLLC

• Family Nurse Practitioner in Warren, MI
• Providers in Warren, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.