Mancelona Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MANCELONA FAMILY PRACTICE

Practice address

419 W State St
Mancelona, MI 49659

Phone

(231) 587-9181

Fax

(231) 587-0923

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Rae Urquhart

Title

Administrative Assistant

Phone

(231) 587-9181

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Katherine J Ducharme, PA-C

  • Physician Assistant
  • Mancelona, MI
  • NPI 1831344779
  NPD (past)
• Michael Max James, PA

  • Physician Assistant
  • Mancelona, MI
  • NPI 1366473084
  NPD (past)
• Peter Martinuzzi

  • Family Medicine Physician
  • Kirkland, WA
  • NPI 1871620831
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1891809349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "MANCELONA",
            "state": "MI",
            "postal_code": "496590769",
            "telephone_number": "231-587-9181",
            "fax_number": "231-587-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W STATE ST",
            "city": "MANCELONA",
            "state": "MI",
            "postal_code": "49659",
            "telephone_number": "231-587-9181",
            "fax_number": "231-587-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCELONA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "URQUHART",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "231-587-9181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Helping Hands Home Care
• Jennifer A Leino, MD
• Matthew Robert Lewis, MAT, AT, ATC
• Christine Florence Loria
• Mancelona Family Practice
• Mindful Solutions Online Therapy LLC
• New Life Theraputic Care
• Jessica R Priest, LLPC
• Jennifer Lynn Stelloh
• John Lamar Thumm, D.D.S.

• Family Medicine Physician in Mancelona, MI
• Providers in Mancelona, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.