Care Medical Clinic of Canton PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301082667 Issued in MI

Legal business name

CARE MEDICAL CLINIC OF CANTON PLLC

Practice address

5730 N Lilley Rd
Canton, MI 48187-3685

Phone

(218) 410-1822

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Paul Debrincat, MDNPI 1356380513

Title

Owner

Phone

(248) 894-0763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17997/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Paul George Debrincat, M.D.

  • Family Medicine Physician
  • Canton, MI
  • NPI 1356380513
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1740780873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873685",
            "telephone_number": "218-410-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873685",
            "telephone_number": "218-410-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL CLINIC OF CANTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "DEBRINCAT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-894-0763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Canyon, LLMSW
• Matteo Capicchioni, MOT
• Maria Y Cardozo, MD
• Care Core LLC
• Care Done Right, LLC
• Katelyn Marie Carey, NP-C
• Sherry Carey, CCC-SLP
• Caring Home Doctors PC
• Caring Pediatrics Canton
• Michael B Carrauthers, PH.D.

• Family Medicine Physician in Canton, MI
• Providers in Canton, 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 Feb 15, 2018; 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.