MONTROSE FAMILY MEDICINE ASSOCIATES PC - NPI 1396889242

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0000X and a focus in Adolescent Medicine.

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About Montrose Family Medicine Associates Pc NPPES

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

MONTROSE FAMILY MEDICINE ASSOCIATES PC (NPI 1396889242) is a healthcare organization registered as an adolescent medicine in Montrose, Michigan and active in the NPI registry since February 2007. The organization lists Cathy Hitchcock, Office Assistant, as its authorized official.

NPPES Registry Identity

NPI1396889242

Entity TypeOrganization

Primary Taxonomy207QA0000X

Legal Business NameMONTROSE FAMILY MEDICINE ASSOCIATES PC

Location Address190 E STATE STMontrose, MI 48457-9144

Mailing Address190 E State StMontrose, MI 48457-9144

Phone(810) 639-2056

Organization SubpartNo

Authorized OfficialCathy HitchcockOffice Assistant · (810) 639-2056

Enumeration DateFebruary 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1396889242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

190 E STATE ST, Montrose, MI 48457

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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

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) 23D0373223

Montrose Medical Group · Montrose, MI

Active · expires Nov 9, 2026

CLIA Number23D0373223

Laboratory TypePhysician Office

Certificate Effective DateNovember 10, 2024

Certificate Expiration DateNovember 9, 2026

Laboratory DirectorMohamad Alasbahi

Laboratory Phone(810) 686-1997

Laboratory LocationMontrose Medical Group190 E State Road, Montrose, MI 48457

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 9

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

MRS. DEBORAH KAY CONLON NP

Family Medicine