Active NPI
Betsie Bay Medical Center
- Family Medicine Physician
- Frankfort, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301048430
- Legal business name
- BETSIE BAY MEDICAL CENTER
- Practice address
- 917 Main St
Frankfort, MI 49635-9701 - Phone
- (231) 352-7103
- Fax
- (231) 352-7105
- NPI assigned
- Oct 16, 2006
- Last updated
- Jun 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Coles, MD
- Title
- Owner
- Phone
- (231) 352-7103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301048430 | MI | Primary |
Addresses
Primary practice location
917 Main St
Frankfort, MI 49635-9701
Mailing address
917 Main St
Frankfort, MI 49635-9701
Phone (231) 352-7103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100019 | Other | BNC | |
| 1012673 | Other | CHAPS ABW |
National Provider Directory
National Provider Directory- Tax ID family
- Betsie Bay Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Empire, MI
- NPI 1912087685
Locations
917 Main St
Frankfort, MI 49635
Phone (231) 352-2201
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.
-
- Family Medicine Physician
- Frankfort, MI
- NPI 1992806285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1689754806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 MAIN ST",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "496359701",
"telephone_number": "231-352-7103",
"fax_number": "231-352-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 MAIN ST",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "496359701",
"telephone_number": "231-352-7103",
"fax_number": "231-352-7105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETSIE BAY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "COLES",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-352-7103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301048430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNC",
"identifier": "0100019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAPS ABW",
"identifier": "1012673",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.