Laberge Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010011 Issued in MI

Legal business name

LABERGE FAMILY PRACTICE PLLC

Practice address

2352 Hiddenview LN
Williamston, MI 48895-9584

Phone

(517) 290-7749

NPI assigned

Jun 20, 2012

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• James P Laberge, DO

  • Family Medicine Physician
  • Williamston, MI
  • NPI 1790772424
  Medicare reassignment NPD
• Karly Russell

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1649734443
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1770846164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788",
            "fax_number": "517-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 HIDDENVIEW LN",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959584",
            "telephone_number": "517-290-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABERGE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kibbe, LLPC
• Jennifer Lynn Koresky
• KP Dentistry, PLLC
• Kimberley Krummrey, DNP, PMHNP, FNP-C
• Charlene Crickon Kushler, PH.D.
• James P Laberge, DO
• Audra Mae Lalonde
• Nicole Annette Langdon, LMSW, SSW
• Lansing Ophthalmology, P.C. (LO Eye Care)
• Kermit L Lemon, O.D.

• Family Medicine Physician in Williamston, MI
• Providers in Williamston, 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 Oct 23, 2024; 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.