Active NPI
St. Johns Internal Medicine
- Primary Care Clinic/Center
- Saint Johns, MI
National Provider Identifier
1699168708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ST. JOHNS INTERNAL MEDICINE
- Practice address
- 110 W Higham St
Saint Johns, MI 48879-1559 - Phone
- (989) 224-0646
- NPI assigned
- Mar 13, 2015
- 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. Christopher Beal, D.O.
- Title
- Supervising Physician
- Phone
- (989) 224-0646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
110 W Higham St
Saint Johns, MI 48879-1559
Mailing address
110 W Higham St
Saint Johns, MI 48879-1559
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2019899 | St Johns Internal Medicine PC | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- St Johns Internal Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Saint Johns, MI
- NPI 1154495323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426204800000",
"number": "1699168708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W HIGHAM ST",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488791559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W HIGHAM ST",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488791559",
"telephone_number": "989-224-0646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHNS INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-13",
"last_updated": "2015-03-13",
"status": "A",
"authorized_official_last_name": "BEAL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
"authorized_official_telephone_number": "989-224-0646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.