NPIMap

Organization Active NPI

Benjamin John, M.D., P.C.

  • Primary Care Clinic/Center
  • Port Huron, MI
National Provider Identifier
1972760692
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301033555 Issued in MI
Legal business name
BENJAMIN JOHN, M.D., P.C.
Practice address
1217 Kearney St
Suite 3
Port Huron, MI 48060-3571
Phone
(810) 984-5001
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Frances Mary Smarch
Title
Medical Receptionist
Phone
(810) 984-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301033555 MI Primary

Addresses

Primary practice location

1217 Kearney St
Suite 3
Port Huron, MI 48060-3571

Mailing address

1217 Kearney St
Suite 3
Port Huron, MI 48060-3571
Phone (810) 984-5001

Other identifiers 1

IdentifierTypeStateIssuer
1360467MedicaidMI

National Provider Directory

National Provider Directory

Locations

1217 Kearney St
Ste 3
Port Huron, MI 48060
Phone (313) 984-5001

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1972760692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST",
            "address_2": "SUITE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-984-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 KEARNEY ST",
            "address_2": "SUITE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603571",
            "telephone_number": "810-984-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN JOHN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SMARCH",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MEDICAL RECEPTIONIST",
        "authorized_official_telephone_number": "810-984-5001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301033555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360467",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.