Organization Active NPI

Northern Michigan Rheumatology PC

  • Health Service Clinic/Center
  • Petoskey, MI
National Provider Identifier
1932333135
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4301041105 Issued in MI
Legal business name
NORTHERN MICHIGAN RHEUMATOLOGY PC
Practice address
3280 Woods Way
Suite 1
Petoskey, MI 49770-8105
Phone
(231) 995-4902
Fax
(231) 995-9074
NPI assigned
May 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Irene S Kazmers, MD
Title
Owner/Provider
Phone
(231) 995-4902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4301041105 MI Primary

Addresses

Primary practice location

3280 Woods Way
Suite 1
Petoskey, MI 49770-8105

Mailing address

3280 Woods Way
Suite 1
Petoskey, MI 49770-8105
Phone (231) 995-4902

National Provider Directory

National Provider Directory

Locations

3280 Woods Way
Unit 1
Petoskey, MI 49770
Phone (231) 348-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14008/brand/2/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1932333135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WOODS WAY",
            "address_2": "SUITE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708105",
            "telephone_number": "231-995-4902",
            "fax_number": "231-995-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WOODS WAY",
            "address_2": "SUITE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708105",
            "telephone_number": "231-995-4902",
            "fax_number": "231-995-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "KAZMERS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "231-995-4902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "4301041105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.