McLaren Primary Care

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005840 Issued in MI

Legal business name

MCLAREN PRIMARY CARE

Practice address

1807 M-55
West Branch, MI 48661-0000

Phone

(989) 345-0945

Fax

(989) 345-2831

NPI assigned

Apr 29, 2011

Last updated

May 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle C Jacks Porter

Title

VP/Cfo

Phone

(989) 894-3838

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1972894566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "address_2": "ATTN: MCLAREN BAY REGION CEO",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 M-55",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610000",
            "telephone_number": "989-345-0945",
            "fax_number": "989-345-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "JACKS PORTER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "989-894-3838"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005840",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704214196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301062477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Primary Care
• McLaren Primary Care
• McLaren Primary Care
• McLaren Primary Care
• McLaren Primary Care
• Charles McLaughlin, M.D.
• Lisa McLaughlin
• Medical Arts Center
• Alissa Mehney-Egan
• Robin Meier

• Physician Assistant in West Branch, MI
• Providers in West Branch, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.