St. Johns Internal Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

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

Last updated

Mar 13, 2015By 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

Dr. Christopher Beal, D.O.NPI 1003980277

Title

Supervising Physician

Phone

(989) 224-0646

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

St Johns Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Johns Internal Medicine PC

  • Internal Medicine Physician
  • Saint Johns, MI
  • NPI 1154495323
  NPD tax ID

Locations

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.

• Christopher T Beal, D.O.

  • Internal Medicine Physician
  • Saint Johns, MI
  • NPI 1003980277
  Authorized official Same address or phone

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": []
}

• Barbara Sue Splitt, RPH
• St Johns Family Health Center, PLLC
• St Johns Smiles
• St. Johns Chiropractic Clinic, Inc.
• St. Johns Counseling and Therapy Services, P.C.
• St. Johns Internal Medicine PC
• State Street Family Dental
• Tabitha Ann Steere, FNP-C
• Erin Ashley Stehlik
• Kelly J Stewart, PT

• Primary Care Clinic/Center in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Primary Care Clinic/Center in Michigan

• 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.

Verify at the official NPI Registry.