NPIMap

Organization Active NPI

Internal Medicine Associates of Flint P.C.

  • Specialist
  • Flint, MI
National Provider Identifier
1710980586
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
EC023744 Issued in MI
Legal business name
INTERNAL MEDICINE ASSOCIATES OF FLINT P.C.
Practice address
G5607 W. Bristol Rd.
Flint, MI 48507
Phone
(810) 230-0120
Fax
(810) 230-6733
NPI assigned
May 24, 2005
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Mrs. Ledean Champine
Title
Operations Manager
Phone
(810) 230-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X EC023744 MI Primary

Addresses

Primary practice location

G5607 W. Bristol Rd.
Flint, MI 48507

Mailing address

3499 S Linden Rd
Flint, MI 48507-3022
Phone (810) 230-0120

Other identifiers 4

IdentifierTypeStateIssuer
1710980586OtherMINPI
110B56381OtherMIBCBS
5173988OtherMICIGNA
CB7526OtherMIMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

Dept CH17830
Palatine, IL 60055

3499 S Linden Rd
Flint, MI 48507
Phone (810) 720-3980

Practitioners & affiliated clinicians

Practitioners 10

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": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1710980586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073022",
            "telephone_number": "810-230-0120",
            "fax_number": "810-230-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G5607 W. BRISTOL RD.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-230-0120",
            "fax_number": "810-230-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF FLINT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "CHAMPINE",
        "authorized_official_first_name": "LEDEAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "810-230-0120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "EC023744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710980586",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110B56381",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5173988",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CB7526",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.