1. Home
  2. Directory
  3. Michigan
  4. Okemos
  5. Clinic Center
  6. NPI Profile

OKEMOS PRIMARY CARE PHYSICIANS PC
NPI 1104079268
Clinic/Center - Primary Care in Okemos, MI

Active since November 02, 2008
2104 JOLLY RD, SUITE 290, OKEMOS, MI 48864(517) 708-7283(517) 708-7294 Get Directions Write a Review

NPPES record last updated: May 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Okemos Primary Care Physicians Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OKEMOS PRIMARY CARE PHYSICIANS PC (NPI 1104079268) is a healthcare organization registered as a primary care in Okemos, Michigan and active in the NPI registry since November 2008. The organization lists Sudha R Yenumula, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104079268
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOKEMOS PRIMARY CARE PHYSICIANS PC
Location Address2104 JOLLY RD, SUITE 290Okemos, MI 48864-6038
Mailing Address2104 Jolly Rd, Suite 290Okemos, MI 48864-6038 · (517) 708-7283 · Fax (517) 708-7294
Phone(517) 708-7283
Fax(517) 708-7294
Organization SubpartNo
Authorized OfficialSudha R YenumulaPresident And Ceo · (517) 708-7283
Enumeration DateNovember 2, 2008
Last NPPES UpdateMay 28, 2009
✔ NPI 1104079268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MI · 4301087786
2104 JOLLY RD, Okemos, MI 48864
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH A ROOT NP
Nurse Practitioner
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Ingham County (517) 381-2700
ORLANDO MATIAS DO PC
Family Medicine
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864
Ingham County (517) 220-4507
MCLAREN GREATER LANSING
Advanced Practice Midwife
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Ingham County (517) 381-2700
SANDRA K RUSSELL DO
Obstetrics & Gynecology
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Ingham County (517) 975-1400
DR. LUCILA CARDENAS MARTINEZ CASTILLO DDS
Dentist (General Practice)
2104 JOLLY RD, SUITE 260
OKEMOS, MI 48864
Ingham County (517) 381-9999
JEFFREY L MEIER DO
Family Medicine
2104 JOLLY RD, STE 240
OKEMOS, MI 48864
Ingham County (517) 256-8805
DR. ORLANDO O MATIAS D.O
Family Medicine
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864
Ingham County (517) 220-4507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Okemos Primary Care Physicians PC's NPI number?

The NPI number for Okemos Primary Care Physicians PC is 1104079268. It was assigned to this organization in the NPPES registry on November 2, 2008.

Where is Okemos Primary Care Physicians PC located?

Okemos Primary Care Physicians PC is located at 2104 Jolly Rd Suite 290, Okemos, MI 48864. The listed phone number is (517) 708-7283.

What is Okemos Primary Care Physicians PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Okemos Primary Care Physicians PC was last updated on May 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.