Organization Active NPI

N E Family Physicians & Therapy SVC

  • Family Medicine Physician
  • East Lansing, MI
National Provider Identifier
1902999758
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SC008093 Issued in MI
Legal business name
N E FAMILY PHYSICIANS & THERAPY SVC
Practice address
1044 Cambria Dr
East Lansing, MI 48823-2393
Phone
(616) 821-6855
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Scott Allan Carlson, DO
Title
Owner
Phone
(616) 821-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X SC008093 MI Primary

Addresses

Primary practice location

1044 Cambria Dr
East Lansing, MI 48823-2393

Mailing address

1044 Cambria Dr
East Lansing, MI 48823-2393
Phone (616) 821-6855

Other identifiers 1

IdentifierTypeStateIssuer
3015713MedicaidMI

Other names 1

  • Family Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

1525 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 363-0055

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1902999758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 CAMBRIA DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232393",
            "telephone_number": "616-821-6855",
            "fax_number": "616-363-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CAMBRIA DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232393",
            "telephone_number": "616-821-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N E FAMILY PHYSICIANS & THERAPY SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-821-6855",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SC008093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015713",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.