1. Home
  2. Directory
  3. NPI Profile

BOARDMAN FAMILY PRACTICE PLLC
NPI 1740564681
Clinic/Center - Rural Health in South Boardman, MI

Active since October 10, 2011
4713 PINE ST SW, SOUTH BOARDMAN, MI 49680(231) 518-0189(231) 518-0188 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Boardman Family Practice Pllc NPPES

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

BOARDMAN FAMILY PRACTICE PLLC (NPI 1740564681) is a healthcare organization registered as a rural health in South Boardman, Michigan and active in the NPI registry since October 2011. The organization lists Todd Kreykes, Owner, as its authorized official.

NPPES Registry Identity

NPI1740564681
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOARDMAN FAMILY PRACTICE PLLC
Location Address4713 PINE ST SWSouth Boardman, MI 49680-9761
Mailing Address4713 Pine St SwSouth Boardman, MI 49680-9761 · (231) 518-0189 · Fax (231) 518-0188
Phone(231) 518-0189
Fax(231) 518-0188
Organization SubpartNo
Authorized OfficialTodd KreykesOwner · (231) 624-1054
Enumeration DateOctober 10, 2011
Last NPPES UpdateMarch 30, 2016
✔ NPI 1740564681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101013379 (MI)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601002729 (MI)
4713 PINE ST SW, South Boardman, MI 49680
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification238901MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

BOARDMAN HEALTH AND WELLNESS, PLLC
Physician Assistant
4713 PINE ST SW
S BOARDMAN, MI 49680
Kalkaska County (231) 369-2656
THOMAS KEANE STETLER PA-C
Physician Assistant
4713 PINE ST SW
S BOARDMAN, MI 49680
Kalkaska County (231) 518-0189
BOARDMAN HEALTH AND WELLNESS, PLLC
Family Medicine
4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
Kalkaska County (231) 369-2656
TODD M KREYKES PA.C
Physician Assistant
4713 PINE ST SW
SOUTH BOARDMAN, MI 49680
Kalkaska County (231) 369-2656

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 Boardman Family Practice PLLC's NPI number?

The NPI number for Boardman Family Practice PLLC is 1740564681. It was assigned to this organization in the NPPES registry on October 10, 2011.

Where is Boardman Family Practice PLLC located?

Boardman Family Practice PLLC is located at 4713 Pine St SW, South Boardman, MI 49680. The listed phone number is (231) 518-0189.

What is Boardman Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Boardman Family Practice PLLC was last updated on March 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.