Physician Coverage Services P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

4301056750 Issued in MI

Legal business name

PHYSICIAN COVERAGE SERVICES P.C.

Doing business as

michigan health specialist of grand blanc

Practice address

2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190

Phone

(810) 235-2004

NPI assigned

Jan 24, 2008

Organization subpart

Yes

Parent organization

PHYSICIAN COVERAGE SERVICESAs reported in NPPES

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

Authorized official

Name

Gail Kromer, BILLER

Title

Gail Kromer Biller

Phone

(810) 235-2004

Specialties & licenses 1

Addresses

Other names 1

• michigan health specialist of grand blanc Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physician Coverage Services PC

  dba Michigan Health Specialist

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1669567806

  O20041104000433

  Same enrollment

Part of

Genesee Mobile Physicians

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1750568549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5494 S DORT HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074483",
            "telephone_number": "810-233-9901",
            "fax_number": "810-233-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN COVERAGE SERVICES P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN COVERAGE SERVICES",
        "enumeration_date": "2008-01-24",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "KROMER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "GAIL KROMER BILLER",
        "authorized_official_telephone_number": "810-235-2004",
        "authorized_official_credential": "BILLER"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": "4301056750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "michigan health specialist of grand blanc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Flint, MI
• Providers in Flint, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.