Steven N Gervae MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

SG028728 Issued in MI

Legal business name

STEVEN N GERVAE MD PC

Practice address

751 S 7TH St
Ontonagon, MI 49953-1450

Phone

(906) 884-2824

Fax

(906) 884-2861

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Norman Gervae, M.D., P.C.

Title

Owner

Phone

(906) 884-2824

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871663369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S 7TH ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531450",
            "telephone_number": "906-884-2824",
            "fax_number": "906-884-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S 7TH ST",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531450",
            "telephone_number": "906-884-2824",
            "fax_number": "906-884-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN N GERVAE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERVAE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-884-2824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "SG028728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042838",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Ontonagon, MI
• Providers in Ontonagon, MI by specialty
• Primary Care Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.