Organization Active NPI

PMC Medical Associates, PC

  • Family Medicine Physician
  • Allegan, MI
National Provider Identifier
1780017061
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301033920 Issued in MI
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.