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PINE TREES MEDICAL OFFICE PC
NPI 1487648374
Internal Medicine in Jerome, MI

Active since September 07, 2005
11610 WALDRON RD, JEROME, MI 49249(517) 688-4842(517) 688-4842 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pine Trees Medical Office Pc NPPES

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

PINE TREES MEDICAL OFFICE PC (NPI 1487648374), doing business as Mark A Kallus Md Pc, is a healthcare organization registered as an internal medicine in Jerome, Michigan and active in the NPI registry since September 2005. The organization lists Roy W Boyer, President, as its authorized official.

NPPES Registry Identity

NPI1487648374
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePINE TREES MEDICAL OFFICE PC
Location Address11610 WALDRON RDJerome, MI 49249-9637
Mailing Address11610 Waldron RdJerome, MI 49249-9637 · (517) 688-4842 · Fax (517) 688-4842
Phone(517) 688-4842
Fax(517) 688-4842
Organization SubpartNo
Authorized OfficialRoy W BoyerPresident · (517) 688-4842
Enumeration DateSeptember 7, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487648374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301028315
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11610 WALDRON RD, Jerome, MI 49249
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Other Names 1

Former Legal Business NameMark A Kallus Md Pc

Other Identifiers 3

Other1 106914130MI · Bcbs
Medicaid4462854MI
OtherP41335MI · Blue Care Network Hmo

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

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 Pine Trees Medical Office PC's NPI number?

The NPI number for Pine Trees Medical Office PC is 1487648374. It was assigned to this organization in the NPPES registry on September 7, 2005. The provider was formerly known as Mark A Kallus MD PC.

Where is Pine Trees Medical Office PC located?

Pine Trees Medical Office PC is located at 11610 Waldron Rd, Jerome, MI 49249. The listed phone number is (517) 688-4842.

What is Pine Trees Medical Office PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Pine Trees Medical Office PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.