FAMILY PRACTICE OF CADILLAC PC - NPI 1336250323 - Family Medicine in Cadillac, MI

Q: What is Family Practice Of Cadillac PC's NPI number?

The NPI number for Family Practice Of Cadillac PC is 1336250323. It was assigned to this organization in the NPPES registry on August 31, 2006.

Q: What is Family Practice Of Cadillac PC's specialty?

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

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About Family Practice Of Cadillac Pc NPPES

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

FAMILY PRACTICE OF CADILLAC PC (NPI 1336250323) is a healthcare organization registered as a family medicine in Cadillac, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through November 27, 2027 and lists Carol Corwin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336250323

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY PRACTICE OF CADILLAC PC

Location Address827 E DIVISION STCadillac, MI 49601-2015

Mailing Address827 E Division StCadillac, MI 49601-2015

Phone(231) 775-9741

Organization SubpartNo

Authorized OfficialCarol CorwinOffice Manager · (231) 775-9741

Enumeration DateAugust 31, 2006

Last NPPES UpdateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1336250323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

827 E DIVISION ST, Cadillac, MI 49601

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Other Identifiers 2

OtherCA0610MI · Railroad Medicare

Other080H36303MI · Blue Cross Blue Shield Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 for Provider-Performed Microscopy Procedures (PPMP) 23D0870035

Family Practice Of Cadillac, PC · Cadillac, MI

Active · expires Nov 27, 2027

CLIA Number23D0870035

Laboratory TypePhysician Office

Certificate Effective DateNovember 28, 2025

Certificate Expiration DateNovember 27, 2027

Laboratory DirectorKevin E. Anderson MD

Laboratory Phone(616) 775-9741

Laboratory LocationFamily Practice Of Cadillac, PC827 E Division Street, Cadillac, MI 49601

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

DR. HELEN M KIOMENTO MD

Family Medicine