NPIMap

Organization Active NPI

Rose City Family Practice PC

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1952498685
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROSE CITY FAMILY PRACTICE PC
Practice address
300 W Washington
Suite 150
Jackson, MI 49201-2113
Phone
(517) 783-4664
Fax
(517) 783-4698
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Jack T Hinkle, DO
Title
Pres
Phone
(517) 783-4664

Specialties & licenses 1

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

Addresses

Primary practice location

300 W Washington
Suite 150
Jackson, MI 49201-2113

Mailing address

300 W Washington
Suite 150
Jackson, MI 49201-2113
Phone (517) 783-4664

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1952498685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON",
            "address_2": "SUITE 150",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012113",
            "telephone_number": "517-783-4664",
            "fax_number": "517-783-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON",
            "address_2": "SUITE 150",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012113",
            "telephone_number": "517-783-4664",
            "fax_number": "517-783-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "517-783-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.