Active NPI
Integrated Family Care, PC
- Family Medicine Physician
- Alpena, MI
National Provider Identifier
1821140666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013616
- Legal business name
- INTEGRATED FAMILY CARE, PC
- Practice address
- 5541 N Point Rd
Alpena, MI 49707-8909 - Phone
- (989) 358-8872
- NPI assigned
- Jan 18, 2007
- 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
- Elaine C Smith, DO
- Title
- President
- Phone
- (989) 358-8872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013616 | MI | Primary |
Addresses
Primary practice location
5541 N Point Rd
Alpena, MI 49707-8909
Mailing address
5541 N Point Rd
Alpena, MI 49707-8909
Phone (989) 358-8872
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4620407 | Medicaid | MI | |
| 4620354 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377734400000",
"number": "1821140666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5541 N POINT RD",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078909",
"telephone_number": "989-358-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5541 N POINT RD",
"city": "ALPENA",
"state": "MI",
"postal_code": "497078909",
"telephone_number": "989-358-8872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED FAMILY CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2013-08-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-358-8872",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4620407",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4620354",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpena, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.