Sleepy Hollow Health Care Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010846 Issued in MI

Legal business name

SLEEPY HOLLOW HEALTH CARE SERVICES PLLC

Practice address

1212 Lincolnshire Dr
Saint Johns, MI 48879-2472

Phone

(989) 292-7334

NPI assigned

Jun 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Paul David Minnick, D.O.NPI 1700982485

Title

Owner

Phone

(989) 292-7334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul David Minnick, DO

  • Family Medicine Physician
  • Shelby, MI
  • NPI 1700982485
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1730560541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 LINCOLNSHIRE DR",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792472",
            "telephone_number": "989-292-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 LINCOLNSHIRE DR",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792472",
            "telephone_number": "989-292-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPY HOLLOW HEALTH CARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-292-7334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Teresa Severy, LPC
• Gregory Shaffer Jr.
• Sheila Gendich M D PLC
• Michelle Sheren, RSW
• Sara L Shogren-Holcomb, AU.D.
• Mya Small, LLMSW
• Angela Joelle Smith, MSW
• Leah Smith
• Beth Ann Snyder-Petrowitz, C.R.N.A.
• Sparrow Clinton Hospital

• Family Medicine Physician in Saint Johns, MI
• Providers in Saint Johns, 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 Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.