Active NPI
PMC Medical Associates, PC
- Family Medicine Physician
- Allegan, MI
National Provider Identifier
1780017061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301033920
- Legal business name
- PMC MEDICAL ASSOCIATES, PC
- Practice address
- 325 Eastern Avenue
Allegan, MI 49010 - Phone
- (269) 673-9000
- NPI assigned
- Aug 9, 2013
- Last updated
- Aug 19, 2014
- 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
- Dr. Thomas D. Collins, M.D.
- Title
- President/Ceo
- Phone
- (269) 673-9000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Family Medicine Physician | 207Q00000X | 4301033920 | MI | Primary |
| Occupational Medicine Physician | 2083X0100X | 4301033920 | MI |
Addresses
Primary practice location
325 Eastern Avenue
Allegan, MI 49010
Mailing address
401 E City Ave
Suite 820
Bala Cynwyd, PA 19004-1155
Phone (610) 668-8800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1780017061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E CITY AVE",
"address_2": "SUITE 820",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041155",
"telephone_number": "610-668-8800",
"fax_number": "484-434-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 EASTERN AVENUE",
"city": "ALLEGAN",
"state": "MI",
"postal_code": "49010",
"telephone_number": "269-673-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMC MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-09",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "269-673-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301033920",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MI",
"license": "4301033920",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allegan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.