Frank Animikwam, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301114806 Issued in MI

Practice address

1260 Ajijaak Ave
Petoskey, MI 49770-8330

Phone

(231) 242-1700

Fax

(231) 242-1717

NPI assigned

Jun 21, 2018

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Traverse Bay Bands of Odawa IndiansGroup PAC ID 8820995368, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Home Health Home health agency, Cheboygan, MI, CCN 237160
• McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: danimikwam810382@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Traverse Bay Bands of Odawa Indians

  • Federally Qualified Health Center (FQHC)
  • Petoskey, MI
  • NPI 1124052816
  Medicare reassignment Care Compare group
• Little Traverse Bay Bands of Odawa Indians

  • Community/Retail Pharmacy
  • Petoskey, MI
  • NPI 1689387821
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Health Management Group

  dba McLaren Home Care and Hospice

  • Home Health Agency
  • Cheboygan, MI
  • NPI 1538270855
  Care Compare affiliation
• McLaren Northern Michigan

  • Psychiatric Hospital Unit
  • Cheboygan, MI
  • NPI 1336897735
  Care Compare affiliation
• McLaren Northern Michigan

  • General Acute Care Hospital
  • Petoskey, MI
  • NPI 1992812580
  Care Compare affiliation

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1750875712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 AJIJAAK AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708330",
            "telephone_number": "231-242-1700",
            "fax_number": "231-242-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 AJIJAAK AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708330",
            "telephone_number": "231-242-1700",
            "fax_number": "231-242-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Michigan Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48912",
            "country_code": "US",
            "telephone_number": "517-364-5710",
            "fax_number": "517-364-5717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541381",
            "country_code": "US",
            "telephone_number": "517-244-8940",
            "fax_number": "517-244-8941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANIMIKWAM",
        "first_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5315091721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301114806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt B Anderson, PA-C
• Roy Lee Angel Jr.
• Deanna Angers, DO
• Joseph Angileri
• Michael A Angileri, MD
• Anthony Alessi DPM PC
• Arec Obs LLC
• Peter Scott Armstrong, M.D.
• Art of Medicine Personalized PLLC
• Associated Retinal Consultants, PC

• Family Medicine Physician in Petoskey, MI
• Providers in Petoskey, 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 Dec 11, 2023; 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.

Verify at the official NPI Registry.