Organization Active NPI

Herbert L. Isaac II, M.D. Family Medicine PLLC

  • Family Medicine Physician
  • Pontiac, MI
National Provider Identifier
1881727725
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301073786 Issued in MI
Legal business name
HERBERT L. ISAAC II, M.D. FAMILY MEDICINE PLLC
Practice address
989 University Dr
Suite 101
Pontiac, MI 48342-1885
Phone
(248) 334-4773
Fax
(248) 334-8230
NPI assigned
Mar 13, 2007
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Herbert Lawrence Isaac II, MDNPI 1841231941
Title
Doctor
Phone
(248) 334-4773

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301073786 MI Primary

Addresses

Primary practice location

989 University Dr
Suite 101
Pontiac, MI 48342-1885

Mailing address

989 University Dr
Suite 101
Pontiac, MI 48342-1885
Phone (248) 334-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000651 MI Part B Supplier - Clinic/Group Practice 4880799014 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit, MI; Pontiac, MI

National Provider Directory

National Provider Directory

Locations

35 S Johnson St
Pontiac, MI 48341
Phone (248) 333-7222

673 Martin Luther King Jr Blvd N
Ste C
Pontiac, MI 48342
Phone (248) 334-4773

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1881727725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 UNIVERSITY DR",
            "address_2": "SUITE 101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421885",
            "telephone_number": "248-334-4773",
            "fax_number": "248-334-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 UNIVERSITY DR",
            "address_2": "SUITE 101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421885",
            "telephone_number": "248-334-4773",
            "fax_number": "248-334-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT L. ISAAC II, M.D. FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-334-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.