Country Creek Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COUNTRY CREEK FAMILY MEDICINE PLLC

Practice address

4986 N Adams Rd Ste a
Rochester, MI 48306-5017

Phone

(248) 475-4301

Fax

(248) 475-4305

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 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

Scott Bain

Title

Authorized Official

Phone

(248) 475-4301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 16

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.

• Michael Bain, DO

  • Sports Medicine (Family Medicine) Physician
  • Rochester, MI
  • NPI 1528551488
  Medicare reassignment NPD
• Daniel Smarsch, MS, PA-C

  • Physician Assistant
  • Rochester, MI
  • NPI 1407445505
  Medicare reassignment
• Marcy Binford

  • Nurse Practitioner
  • Royal Oak, MI
  • NPI 1629479498
  NPD
• Tiffany Nicole Gerke

  • Pediatric Nurse Practitioner
  • Waterford, MI
  • NPI 1114556537
  NPD
• Jasper Gill, DO

  • Sports Medicine (Family Medicine) Physician
  • Rochester, MI
  • NPI 1700205846

  Multi-Specialty

  NPD
• Andrea Mary Hagan, FNP-C

  • Family Nurse Practitioner
  • Rochester, MI
  • NPI 1245739960
  NPD
• Rochelle Harris, NP

  • Family Nurse Practitioner
  • Highland Park, MI
  • NPI 1184083974
  NPD
• Daniel Meram, M.D.

  • Family Medicine Physician
  • Bloomfield Township, MI
  • NPI 1215354493
  NPD
• Shailaja Rastogi, M.D.

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1558439737
  NPD
• Melanie E Odeleye, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Foster City, CA
  • NPI 1184988255
  NPD
• Robert L. Chadwick, D.O.

  • Family Medicine Physician
  • Frankenmuth, MI
  • NPI 1740220870
  NPD (past)
• Jill Ann Ellsasser, P.A.C

  • Medical Physician Assistant
  • Auburn Hills, MI
  • NPI 1538237821
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1790537041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4986 N ADAMS RD STE A",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483065017",
            "telephone_number": "248-475-4301",
            "fax_number": "248-475-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4986 N ADAMS RD STE A",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483065017",
            "telephone_number": "248-475-4301",
            "fax_number": "248-475-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CREEK FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-475-4301"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Contemporary Obstetrics & Gynecology, PC
• Continuum Care Management Group, LLC (Continuum Home Care Services, LLC)
• Brian Cooper, LPC, NCC
• Jessica Cooper
• Kathryn Correll
• Country Creek Pediatrics, PLLC
• Elizabeth Crisco
• Crittenton Cancer Center
• Crittenton Hospital
• Crittenton Hospital, Wayne State University

• Family Medicine Physician in Rochester, MI
• Providers in Rochester, 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 Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.