Organization Active NPI

Suttons Bay Urgent Care Center

  • Family Medicine Physician
  • Suttons Bay, MI
National Provider Identifier
1699940791
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
453488211 Issued in MI
Legal business name
SUTTONS BAY URGENT CARE CENTER
Practice address
508 Saint Joseph Street
Suttons Bay, MI 49682-9800
Phone
(231) 271-6511
Fax
(231) 271-6513
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Sander Kushner, DO
Title
Physician Owner
Phone
(231) 271-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 453488211 MI Primary

Addresses

Primary practice location

508 Saint Joseph Street
Suttons Bay, MI 49682-9800

Mailing address

508 St Joseph Street
Suttons Bay, MI 49682-9800
Phone (231) 271-6511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1699940791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ST JOSEPH STREET",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829800",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SAINT JOSEPH STREET",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496829800",
            "telephone_number": "231-271-6511",
            "fax_number": "231-271-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTONS BAY URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "SANDER",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "231-271-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "453488211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.