THIRD AVENUE FAMILY CLINIC, PC
NPI 1619997996
Family Medicine in Fruitport, MI

Q: What is Third Avenue Family Clinic, PC's NPI number?

The NPI number for Third Avenue Family Clinic, PC is 1619997996. It was assigned to this organization in the NPPES registry on July 20, 2006.

Q: What is Third Avenue Family Clinic, PC's specialty?

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

Active since July 20, 2006

14 N. THIRD AVE, FRUITPORT, MI 49415(231) 865-3918(231) 865-3510 Get Directions Write a Review

NPPES record last updated: May 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Third Avenue Family Clinic, Pc NPPES

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

THIRD AVENUE FAMILY CLINIC, PC (NPI 1619997996) is a healthcare organization registered as a family medicine in Fruitport, Michigan and active in the NPI registry since July 2006. The organization lists Joyce Stapel, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619997996

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTHIRD AVENUE FAMILY CLINIC, PC

Location Address14 N. THIRD AVEFruitport, MI 49415

Mailing Address14 N 3rd AveFruitport, MI 49415-8920 · (231) 865-3918 · Fax (231) 865-3510

Phone(231) 865-3918

Fax(231) 865-3510

Organization SubpartNo

Authorized OfficialJoyce StapelOffice Manager · (231) 865-3918

Enumeration DateJuly 20, 2006

Last NPPES UpdateMay 24, 2011

✔ NPI 1619997996 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.

14 N. THIRD AVE, Fruitport, MI 49415

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Other Identifiers 1

Medicare ID-Type Unspecified0N81350MI

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 Third Avenue Family Clinic, PC's NPI number?

The NPI number for Third Avenue Family Clinic, PC is 1619997996. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Third Avenue Family Clinic, PC located?

Third Avenue Family Clinic, PC is located at 14 N. Third Ave, Fruitport, MI 49415. The listed phone number is (231) 865-3918.

What is Third Avenue Family Clinic, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Third Avenue Family Clinic, PC was last updated on May 24, 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.