Active NPI
Northern Family Medicine, PLLC
- Family Medicine Physician
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTHERN FAMILY MEDICINE, PLLC
- Practice address
- 3890 Charlevoix Rd Ste 230
Petoskey, MI 49770-8420 - Phone
- (123) 134-7190
- NPI assigned
- Nov 6, 2018
- 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. Janet Talmo, M D
- Title
- Owner
- Phone
- (231) 347-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3890 Charlevoix Rd Ste 230
Petoskey, MI 49770-8420
Mailing address
2810 Charlevoix Rd Ste 104
Petoskey, MI 49770-8421
Phone (231) 347-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301049260 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2323876 | Northern Family Medicine | Certificate of waiver | May 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
3890 Charlevoix Rd
Ste 230
Petoskey, MI 49770
Phone (231) 347-1900
3890 Charlevoix Rd
Ste 0
Petoskey, MI 49770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1932152071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1801364005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 CHARLEVOIX RD STE 104",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708421",
"telephone_number": "231-347-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 CHARLEVOIX RD STE 230",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708420",
"telephone_number": "123-134-7190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "TALMO",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-347-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4301049260",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
- North Country Community Mental Health
- North Country Community Mental Health
- North Country Community Mental Health
- Northern Anesthesia Providers PC
- Northern Edge Institute of Rehabilitation
- Northern Imaging Associates P C
- Northern Michigan Allergy & Asthma Center, P.C.
- Northern Michigan Cosmetic & Reconstructive Surgery Center P C
- Northern Michigan Elder Care
- Northern Michigan Emergency Physicians, P.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.