NPIMap

Organization Active NPI

Euclid Medial Group PC

  • General Practice Physician
  • Bay City, MI
National Provider Identifier
1992962260
Registry record updated Jul 31, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EUCLID MEDIAL GROUP PC
Practice address
4175 N Euclid Ave
Bay City, MI 48706-2483
Phone
(989) 667-0491
Fax
(989) 667-0493
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Mr. William E Berner
Title
Clinic Administrator
Phone
(989) 892-7722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

4175 N Euclid Ave
Bay City, MI 48706-2483

Mailing address

4175 N Euclid Ave
Bay City, MI 48706-2483
Phone (989) 667-0491

Other identifiers 1

IdentifierTypeStateIssuer
0Z91047OtherMIBLUE CARE NETWORK

Other names 1

  • Redimed Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1992962260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062483",
            "telephone_number": "989-667-0491",
            "fax_number": "989-667-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062483",
            "telephone_number": "989-667-0491",
            "fax_number": "989-667-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID MEDIAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "989-892-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0Z91047",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redimed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redimed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.