Northern Phototherapy Management Facility LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHERN PHOTOTHERAPY MANAGEMENT FACILITY LLC

Practice address

337 E Houghton Ave
Suite 3
West Branch, MI 48661-1127

Phone

(989) 343-1000

Fax

(989) 345-5734

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Joseph J Martines

Title

Owner

Phone

(989) 343-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Ann Tetu, MSN, RN, FNP-BC

  • Nurse Practitioner
  • West Branch, MI
  • NPI 1639710890
  Medicare reassignment Care Compare group NPD
• John Wilkins, DO

  • Family Medicine Physician
  • West Branch, MI
  • NPI 1689082539
  Medicare reassignment Care Compare group NPD
• Syed Mahmood Ali Khan, M.D.

  • Diagnostic Radiology Physician
  • Madison Heights, MI
  • NPI 1326231325
  NPD (past)
• Basil John Marrella, DO

  • General Practice Physician
  • Madison Heights, MI
  • NPI 1407833270
  NPD (past)
• Joseph E Oesterling, MD

  • Specialist
  • Saginaw, MI
  • NPI 1538136353
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831251982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 E HOUGHTON AVE",
            "address_2": "SUITE 3",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-343-1000",
            "fax_number": "989-345-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E HOUGHTON AVE",
            "address_2": "SUITE 3",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-343-1000",
            "fax_number": "989-345-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PHOTOTHERAPY MANAGEMENT FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-343-1000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Nelkie
• Meagan Nguyen
• Northern Counseling Association PLLC
• Northern Gems Speech-Language and Feeding Therapy, LLC
• Northern Michigan Emergency Physicians, LLP
• Rebecca O'Dell
• Oakland Orthopedic Appliances Inc
• Odyssey Healthcare Holding Company
• Ogemaw Anesthesia Staffing Services LLC
• Ogemaw Chiropractic Clinic

• Internal Medicine Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.