LOON LAKE PRIMARY CARE
NPI 1326890666
Family Medicine in Wixom, MI

Active since April 02, 2024CLIA 23D2318853 · Waiver
1545 N WIXOM RD, WIXOM, MI 48393(248) 833-6343(248) 833-6343 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Loon Lake Primary Care NPPES

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

LOON LAKE PRIMARY CARE (NPI 1326890666) is a healthcare organization registered as a family medicine in Wixom, Michigan and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Paul S Shabou, Owner, as its authorized official.

NPPES Registry Identity

NPI1326890666
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePAPNEZ PLLC
Location Address1545 N WIXOM RDWixom, MI 48393-1411
Mailing Address1545 N Wixom RdWixom, MI 48393-1411 · (248) 833-6343 · Fax (248) 833-6343
Fax(248) 833-6343
Organization SubpartNo
Authorized OfficialPaul S ShabouOwner · (248) 833-6343
Enumeration DateApril 2, 2024
Last NPPES UpdateMay 24, 20242 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
NPI 1326890666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X
1545 N WIXOM RD, Wixom, MI 48393

Other Names 1

Doing Business AsLoon Lake Primary Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2318853

Loon Lake Primary Care · Wixom, MI
Active · expires Feb 18, 2027
CLIA Number23D2318853
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorPaul Shabou
Laboratory Phone(248) 833-6343
Laboratory LocationLoon Lake Primary Care1545 N Wixom Road, Wixom, MI 48393
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
1545 N WIXOM RD
WIXOM, MI 48393

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 Papnez PLLC's NPI number?

The NPI number for Papnez PLLC is 1326890666. It was assigned to this organization in the NPPES registry on April 2, 2024. The provider is doing business as Loon Lake Primary Care.

Where is Papnez PLLC located?

Papnez PLLC is located at 1545 N Wixom Rd, Wixom, MI 48393. The listed phone number is (248) 833-6343.

What is Papnez PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Papnez PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2318853) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Papnez PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Papnez PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Papnez PLLC was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.