Organization Active NPI

Klein Medical PC

Doing business as Community Occupational Medicine

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1730413394
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301060120 Issued in MI
Legal business name
KLEIN MEDICAL PC
Doing business as
Community Occupational Medicine
Practice address
370 E Chicago St
Suite 700
Coldwater, MI 49036-2062
Phone
(517) 279-5099
Fax
(517) 279-5097
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Karen N Klein, M.D.
Title
Owner
Phone
(517) 279-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301060120 MI Primary

Addresses

Primary practice location

370 E Chicago St
Suite 700
Coldwater, MI 49036-2062

Mailing address

1131 N Osseo Rd
PO Box 187
Hillsdale, MI 49242-9714
Phone (517) 523-3695

Other identifiers 2

IdentifierTypeStateIssuer
1730413394MedicaidMI
1730413394OtherMIBCBSM

Other names 1

  • Community Occupational Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1730413394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N OSSEO RD",
            "address_2": "PO BOX 187",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429714",
            "telephone_number": "517-523-3695",
            "fax_number": "517-523-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E CHICAGO ST",
            "address_2": "SUITE 700",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362062",
            "telephone_number": "517-279-5099",
            "fax_number": "517-279-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-279-5099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730413394",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1730413394",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2015; 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.