Organization Active NPI

Mid-Michigan Physicians, PC

  • Durable Medical Equipment & Medical Supplies
  • Saint Johns, MI
National Provider Identifier
1811294549
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID-MICHIGAN PHYSICIANS, PC
Practice address
901 S Oakland St
Suite 101
Saint Johns, MI 48879-2200
Phone
(517) 913-3855
Fax
(517) 913-4020
NPI assigned
Feb 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Raymond Hansen, MD
Title
Ceo
Phone
(517) 913-7020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

901 S Oakland St
Suite 101
Saint Johns, MI 48879-2200

Mailing address

901 S Oakland St
Suite 101
Saint Johns, MI 48879-2200
Phone (517) 913-3855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1811294549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S OAKLAND ST",
            "address_2": "SUITE 101",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792200",
            "telephone_number": "517-913-3855",
            "fax_number": "517-913-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S OAKLAND ST",
            "address_2": "SUITE 101",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792200",
            "telephone_number": "517-913-3855",
            "fax_number": "517-913-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-913-7020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.