Active NPI
Comprehensive Family Healthcare PLLC
- Family Medicine Physician
- Clarkston, MI
National Provider Identifier
1992086680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TE007018
- Legal business name
- COMPREHENSIVE FAMILY HEALTHCARE PLLC
- Practice address
- 6770 Dixie Hwy
Ste 202
Clarkston, MI 48346-2087 - Phone
- (248) 620-0377
- Fax
- (248) 620-0385
- NPI assigned
- Sep 8, 2011
- Organization subpart
- Yes
- Parent organization
- CFH URGENT CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore G Engelmann, DO
- Title
- Owner
- Phone
- 24862003777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TE007018 | MI | Primary |
| Urgent Care Clinic/Center | 261QU0200X | TE007018 | MI |
Addresses
Primary practice location
6770 Dixie Hwy
Ste 202
Clarkston, MI 48346-2087
Mailing address
6770 Dixie Hwy
Ste 202
Clarkston, MI 48346-2087
Phone (248) 620-0377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4861124 | Medicaid | MI | |
| 0F34006 | Other | MI | BCBS |
National Provider Directory
National Provider Directory- Part of
- Comprehensive Fmly Hlthcare
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Commerce TWP, MI
- NPI 1952323016
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1992086680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 DIXIE HWY",
"address_2": "STE 202",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462087",
"telephone_number": "248-620-0377",
"fax_number": "248-620-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 DIXIE HWY",
"address_2": "STE 202",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462087",
"telephone_number": "248-620-0377",
"fax_number": "248-620-0385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE FAMILY HEALTHCARE PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CFH URGENT CARE",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "ENGELMANN",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "24862003777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "TE007018",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MI",
"license": "TE007018",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4861124",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0F34006",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
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- Comprehensive Family Healthcare, PLLC
- Comprehensive Medical Care
- Cherie Conklin, BEHAVIOR TECHNICIAN
- Danielle Conklin, CTRS
- Laura Conner, LLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.