Mid Michigan Medical Corporation PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MID MICHIGAN MEDICAL CORPORATION PC

Practice address

863 N Pine Rd
Suite E
Essexville, MI 48732-2159

Phone

(989) 895-8514

Fax

(989) 895-8516

NPI assigned

Mar 23, 2016

Last updated

Apr 5, 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

Dr. James Joseph, DONPI 1083660229

Title

Owner

Phone

(989) 895-5090

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Joseph, D.O.

  • Family Medicine Physician
  • North Chicago, IL
  • NPI 1083660229

  MI

  Medicare reassignment NPD Authorized official
• Eric Kreckman

  • Physician Assistant
  • Gladwin, MI
  • NPI 1538599733
  Medicare reassignment Care Compare group
• James Pail, PAC

  • Physician Assistant
  • Essexville, MI
  • NPI 1093139982
  Medicare reassignment Care Compare group
• Stephanie Bovee

  • Nurse Practitioner
  • Saginaw, MI
  • NPI 1346697240
  Medicare reassignment NPD
• Taegan Alycia Pletzke, FNP-BC

  • Nurse Practitioner
  • Essexville, MI
  • NPI 1063381879
  Medicare reassignment NPD (past)
• John Roberts, PA-C

  • Physician Assistant
  • Essexville, MI
  • NPI 1194758920
  NPD (past)

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1972965473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N PINE RD",
            "address_2": "SUITE E",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-895-5090",
            "fax_number": "989-895-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N PINE RD",
            "address_2": "SUITE E",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487322159",
            "telephone_number": "989-895-8514",
            "fax_number": "989-895-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID MICHIGAN MEDICAL CORPORATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-895-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7706200001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McLaren Bay Region
• McLaren Health Management Group (McLaren Long-Term Care Pharmacy)
• Jon McParlan
• Michigan Behavioral Health Institute Inc. (Mbhi)
• Michigan Health Centers PC
• Matthew Mitchell, LMSW
• Layne Theron Moergeli
• Brittany Morley, RN
• William Ray Morrone, DO
• John Robert Mularz

• Family Medicine Physician in Essexville, MI
• Providers in Essexville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.