CASS RIVER HEALTH PLAZA PLLC - NPI 1356600431 - Family Medicine in Bridgeport, MI

Q: What is Cass River Health Plaza PLLC's NPI number?

The NPI number for Cass River Health Plaza PLLC is 1356600431. It was assigned to this organization in the NPPES registry on May 10, 2012.

Q: What is Cass River Health Plaza PLLC's specialty?

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

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About Cass River Health Plaza Pllc NPPES

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

CASS RIVER HEALTH PLAZA PLLC (NPI 1356600431) is a healthcare organization registered as a family medicine in Bridgeport, Michigan and active in the NPI registry since May 2012. The organization holds a CLIA Microscopy certificate valid through May 22, 2027 and lists Naveed Mahfooz, Owner, as its authorized official.

NPPES Registry Identity

NPI1356600431

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCASS RIVER HEALTH PLAZA PLLC

Location Address6940 DIXIE HWYBridgeport, MI 48722-9760

Mailing Address6940 Dixie HwyBridgeport, MI 48722-9760 · (989) 746-0933 · Fax (989) 746-5070

Phone(989) 746-0933

Fax(989) 746-5070

Organization SubpartNo

Authorized OfficialNaveed MahfoozOwner · (989) 746-0933

Enumeration DateMay 10, 2012

✔ NPI 1356600431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301059644

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.

6940 DIXIE HWY, Bridgeport, MI 48722

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Other Identifiers 1

Medicare UPINF93077MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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) 23D0986834

Cass River Health Plaza · Bridgeport, MI

Active · expires May 22, 2027

CLIA Number23D0986834

Laboratory TypePhysician Office

Certificate Effective DateMay 23, 2025

Certificate Expiration DateMay 22, 2027

Laboratory DirectorNaveed Mahfooz

Laboratory Phone(989) 746-0933

Laboratory LocationCass River Health Plaza6940 Dixie Highway, Bridgeport, MI 48722

CLIA data matches this NPI record on: Address Name Phone

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 5

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

DR. HENRYK CZESLAW PIETRUS M.D.

Family Medicine