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PLYMOUTH CANTON FAMILY HEALTH CARE PC
NPI 1518095850
Family Medicine in Canton, MI

Active since February 28, 2007CLIA 23D1088915 · Waiver
44633 JOY RD STE 100, CANTON, MI 48187(734) 453-5360(734) 453-5380 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Plymouth Canton Family Health Care Pc NPPES

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

PLYMOUTH CANTON FAMILY HEALTH CARE PC (NPI 1518095850) is a healthcare organization registered as a family medicine in Canton, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Jerome Bekker, Physician, as its authorized official.

NPPES Registry Identity

NPI1518095850
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLYMOUTH CANTON FAMILY HEALTH CARE PC
Location Address44633 JOY RD STE 100Canton, MI 48187-1731
Mailing AddressPo Box 700890Plymouth, MI 48170-0955 · (734) 453-5360 · Fax (734) 453-5380
Phone(734) 453-5360
Fax(734) 453-5380
Organization SubpartNo
Authorized OfficialJerome BekkerPhysician · (734) 453-5360
Enumeration DateFebruary 28, 2007
Last NPPES UpdateFebruary 17, 2011
✔ NPI 1518095850 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 · JB010278
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.
44633 JOY RD STE 100, Canton, MI 48187
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Other Identifiers 3

Medicare ID-Type Unspecified0P14720MI
Medicare UPINF05093MI
Medicaid114731255MI

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 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 of Waiver 23D1088915

Plymouth Canton Family Healthcare PC · Canton, MI
Active · expires Sep 7, 2028
CLIA Number23D1088915
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorJerome Bekker
Laboratory Phone(734) 453-5360
Laboratory LocationPlymouth Canton Family Healthcare PC44633 Joy Road Suite 100, Canton, MI 48187
CLIA data matches this NPI record on: Address 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.

JEROME BEKKER DO
Family Medicine
44633 JOY RD STE 100
CANTON, MI 48187
Wayne County (734) 453-5360

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 Plymouth Canton Family Health Care PC's NPI number?

The NPI number for Plymouth Canton Family Health Care PC is 1518095850. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Plymouth Canton Family Health Care PC located?

Plymouth Canton Family Health Care PC is located at 44633 Joy Rd Ste 100, Canton, MI 48187. The listed phone number is (734) 453-5360.

What is Plymouth Canton Family Health Care PC's specialty?

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

Does Plymouth Canton Family Health Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1088915) is associated with this NPI, valid through September 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plymouth Canton Family Health Care PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Plymouth Canton Family Health Care PC 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 Plymouth Canton Family Health Care PC was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.