Pikeville Medical Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PIKEVILLE MEDICAL CENTER INC

Practice address

3127 Judson Rd
Spring Lake, MI 49456-9312

Phone

(606) 430-3500

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Hagy

Title

Cfo

Phone

(606) 430-3519

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Pikeville Med Center Inc57 organizations share this tax ID, including this one

Practitioners 1

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

• Rachel Shields, M.D

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1225310774
  Medicare reassignment NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1689426637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-218-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 JUDSON RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569312",
            "telephone_number": "606-430-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HAGY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-430-3519"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeanna April Peter, LPC
• Laurel Jean Petro, MASSAGE THERAPIST
• Physiotherapy Associates Inc
• Tracy Piasecki, LMSW
• Nicolas Joseph Pietrangelo, D.O.
• Pine Rest Christian Mental Health Services
• Ashley Piper
• Privamd Physicians PLLC
• Renee M Przystas, DPT
• PTX Physical Therapy, LLC

• Multi-Specialty Clinic/Center in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.