Active NPI
Jun Garcia, M.D
- Family Medicine Physician
- Port Huron, MI
National Provider Identifier
1750356325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- JG075632
- Practice address
- 1979 Holland Ave
Suite C
Port Huron, MI 48060-8639 - Phone
- (810) 982-1200
- Fax
- (810) 982-6990
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | JG075632 | MI | Primary |
Addresses
Primary practice location
1979 Holland Ave
Suite C
Port Huron, MI 48060-8639
Mailing address
1979 Holland Ave
Suite C
Port Huron, MI 48060-8639
Phone (810) 982-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI1389 | Other | MI | MEDICARE TPAN |
| 4691641 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1979 Holland Ave
Suite C
Port Huron, MI 48060-8639
Phone (810) 982-1200
1979 Holland Ave C
Port Huron, MI 48060-8639
Hospital & facility affiliations
- Residential Home Health and Hospice
- Beacon Home Care
- Vna Home Health Care
- McLaren Port Huron
- Lake Huron Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JG075632 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Port Huron Mercy Family Care Inc | Past | Accepting new patients |
Interoperability endpoints
- garcia@phfc.gwaydirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Port Huron, MI
- NPI 1518118470
-
- Certified Registered Nurse Anesthetist
- Port Huron, MI
- NPI 1740686450
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port Huron, MI
- NPI 1871542100
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
-
- Home Health Agency
- Lapeer, MI
- NPI 1316054810
-
- Community Based Hospice Care Agency
- Lapeer, MI
- NPI 1831395243
Home health agency
-
- Home Health Agency
- Port Huron, MI
- NPI 1083601066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1750356325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 HOLLAND AVE",
"address_2": "SUITE C",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480608639",
"telephone_number": "810-982-1200",
"fax_number": "810-982-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 HOLLAND AVE",
"address_2": "SUITE C",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480608639",
"telephone_number": "810-982-1200",
"fax_number": "810-982-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JUN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "JG075632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TPAN",
"identifier": "MI1389",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4691641",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.