NPIMap

Organization Active NPI

John a. Vollmer, MD, PC

  • Family Medicine Physician
  • Roseville, MI
National Provider Identifier
1790965838
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JV046289 Issued in MI
Legal business name
JOHN A. VOLLMER, MD, PC
Practice address
25250 Kelly Rd
Roseville, MI 48066-4473
Phone
(586) 777-4668
Fax
(586) 777-4452
NPI assigned
Nov 6, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. John Anthony Vollmer, MD
Title
Owner
Phone
(586) 777-4668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JV046289 MI Primary

Addresses

Primary practice location

25250 Kelly Rd
Roseville, MI 48066-4473

Mailing address

25250 Kelly Rd
Roseville, MI 48066-4473
Phone (586) 777-4668

Other identifiers 2

IdentifierTypeStateIssuer
JV046289OtherMISTATE LICENSE
0805016351OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790965838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25250 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664473",
            "telephone_number": "586-777-4668",
            "fax_number": "586-777-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25250 KELLY RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664473",
            "telephone_number": "586-777-4668",
            "fax_number": "586-777-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. VOLLMER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VOLLMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-777-4668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JV046289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "JV046289",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0805016351",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.