NPIMap

Organization Active NPI

Midtown Family Practice, PLC

  • Family Medicine Physician
  • Benton Harbor, MI
National Provider Identifier
1922072271
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDTOWN FAMILY PRACTICE, PLC
Practice address
129 E Main St
Benton Harbor, MI 49022-4409
Phone
(269) 927-3828
Fax
(269) 927-3829
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Amelia Wilson, M.D.NPI 1306810460
Title
Physician
Phone
(269) 927-3828

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

129 E Main St
Benton Harbor, MI 49022-4409

Mailing address

129 E Main St
Benton Harbor, MI 49022-4409
Phone (269) 927-3828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1922072271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224409",
            "telephone_number": "269-927-3828",
            "fax_number": "269-927-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490224409",
            "telephone_number": "269-927-3828",
            "fax_number": "269-927-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN FAMILY PRACTICE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "269-927-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.