Active NPI
Integrative Specialty Care of Northern Michigan
- Internal Medicine Physician
- Petoskey, MI
National Provider Identifier
1750744066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301041105
- Legal business name
- INTEGRATIVE SPECIALTY CARE OF NORTHERN MICHIGAN
- Practice address
- 3250 Woods Way
Petoskey, MI 49770-7628 - Phone
- (231) 348-3800
- Fax
- (877) 397-7480
- NPI assigned
- Apr 4, 2016
- Last updated
- Apr 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irene Kazmers, MD
- Title
- Co-Owner
- Phone
- (231) 348-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301041105 | MI | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4301041105 | MI | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4301041254 | MI | |
| Vascular Surgery Physician | 2086S0129X | 4301041254 | MI |
Addresses
Primary practice location
3250 Woods Way
Petoskey, MI 49770-7628
Mailing address
3250 Woods Way
Petoskey, MI 49770-7628
Phone (231) 348-3800
National Provider Directory
National Provider DirectoryLocations
3250 Woods Way
Petoskey, MI 49770
Phone (231) 348-3800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Petoskey, MI
- NPI 1437113032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459900800000",
"number": "1750744066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 WOODS WAY",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497707628",
"telephone_number": "231-348-3800",
"fax_number": "877-397-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WOODS WAY",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497707628",
"telephone_number": "231-348-3800",
"fax_number": "877-397-7480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE SPECIALTY CARE OF NORTHERN MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-04",
"last_updated": "2016-04-06",
"status": "A",
"authorized_official_last_name": "KAZMERS",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "231-348-3800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301041105",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "4301041105",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "4301041254",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301041254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
- Indigo Hospital Medicine - Petoskey, PLC
- Infinity Eye Care, Inc
- Catherine Ann Ingalls, DPT
- Kelly Scolnick Ingleson, L.P.C
- Integrative Cardiovascular Health & Wellness (4 Seasons Health)
- Internal Medicine of Northern Michigan Laboratory
- Internal Medicine of Northern Michigan PLLC
- Irb Medical Equipment LLC (Hart Medical Equipment)
- Heather Renee Irish, LPC
- Kayla Irland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.