NPIMap

Organization Active NPI

Mid-Michigan Cardiology Associates PLC

  • Specialist
  • Flint, MI
National Provider Identifier
1780724468
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ER039365 Issued in MI
Legal business name
MID-MICHIGAN CARDIOLOGY ASSOCIATES PLC
Practice address
1165 S Linden Rd
Flint, MI 48532-3406
Phone
(810) 732-5400
Fax
(810) 733-1624
NPI assigned
Feb 8, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Kerri Ann Walther
Title
Office Manager
Phone
(810) 732-5400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA038827 MI
Specialist 174400000X ER039365 MI Primary

Addresses

Primary practice location

1165 S Linden Rd
Flint, MI 48532-3406

Mailing address

1165 S Linden Rd
Flint, MI 48532-3406
Phone (810) 732-5400

National Provider Directory

National Provider Directory

Locations

2329 Stonebridge Dr
Flint, MI 48532
Phone (810) 733-1453

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1780724468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323406",
            "telephone_number": "810-732-5400",
            "fax_number": "810-733-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323406",
            "telephone_number": "810-732-5400",
            "fax_number": "810-733-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN CARDIOLOGY ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-732-5400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "MA038827",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "ER039365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.