Organization Active NPI

Select Health, P.C.

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1699960013
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SELECT HEALTH, P.C.
Practice address
436 Marshall St
Coldwater, MI 49036-1139
Phone
(517) 278-6600
Fax
(517) 278-0600
NPI assigned
Sep 10, 2007
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Dr. Charles F Whitaker IV, M.D.NPI 1821054966
Title
Provider
Phone
(517) 278-6600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

436 Marshall St
Coldwater, MI 49036-1139

Mailing address

436 Marshall St
Coldwater, MI 49036-1139
Phone (517) 278-6600

Other identifiers 3

IdentifierTypeStateIssuer
1639129646MedicaidMI
1821054966MedicaidMI
1144262122MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000812 MI Part B Supplier - Clinic/Group Practice 2264512821 Receives reassigned benefits from 3 practitioners
Practice locations: Coldwater, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1075886Select Health PC436 Marshall Street, Coldwater, MI 49036Provider-performed microscopyOct 30, 2027

National Provider Directory

National Provider Directory

Locations

436 Marshall St
Coldwater, MI 49036
Phone (517) 278-6600

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1699960013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361139",
            "telephone_number": "517-278-6600",
            "fax_number": "517-278-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MARSHALL ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361139",
            "telephone_number": "517-278-6600",
            "fax_number": "517-278-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "517-278-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639129646",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821054966",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144262122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.