Edgewater Family Health, PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301080141 Issued in MI

Legal business name

EDGEWATER FAMILY HEALTH, PLC

Practice address

405 Momany Drive
Saint Joseph, MI 49085-2178

Phone

(269) 982-1947

Fax

(269) 982-1950

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By 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

Matthew J Campbell, MDNPI 1043284367

Title

Owner

Phone

(269) 982-1947

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

Practitioners 2

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.

• Matthew J Campbell, M.D.

  • Family Medicine Physician
  • Saint Joseph, MI
  • NPI 1043284367
  NPD Authorized official
• Sigita Alimenti, M.D.

  • Family Medicine Physician
  • Saint Joseph, MI
  • NPI 1053376202
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1710436571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MOMANY DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852178",
            "telephone_number": "269-982-1947",
            "fax_number": "269-982-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MOMANY DRIVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852178",
            "telephone_number": "269-982-1947",
            "fax_number": "269-982-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER FAMILY HEALTH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-982-1947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dallas Eberth, OTD, OTRL, CDP, CFPS
• Emil Ethan Ebner, DO
• Kari Elizabeth Eckert
• Ny'Ja Eddie
• Hillary Nicole Edgerly, NP
• Kim Elizabeth Edinger
• Eseosa Edo-Osagie, M.D
• Michael E Eggebrecht, DO
• Tate Egger, DO
• Narcine Eggert, MHS, CCC-SLP

• Family Medicine Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.