OTSEGO FAMILY MEDICAL PRACTICE, PLLC
NPI 1801920533
Nurse Practitioner - Family in Gobles, MI

Q: What is Otsego Family Medical Practice, PLLC's NPI number?

The NPI number for Otsego Family Medical Practice, PLLC is 1801920533. It was assigned to this organization in the NPPES registry on March 15, 2007.

Q: What is Otsego Family Medical Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 15, 2007

34471 NORTH DR, GOBLES, MI 49055(269) 628-2789 Get Directions Write a Review

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

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About Otsego Family Medical Practice, Pllc NPPES

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

OTSEGO FAMILY MEDICAL PRACTICE, PLLC (NPI 1801920533) is a healthcare organization registered as a family in Gobles, Michigan and active in the NPI registry since March 2007. The organization lists Fred D Boothby, Owner, as its authorized official.

NPPES Registry Identity

NPI1801920533

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameOTSEGO FAMILY MEDICAL PRACTICE, PLLC

Location Address34471 NORTH DRGobles, MI 49055-9670

Mailing Address34471 North DrGobles, MI 49055-9670 · (269) 628-2789

Phone(269) 628-2789

Organization SubpartNo

Authorized OfficialFred D BoothbyOwner · (269) 628-4997

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1801920533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704142595

34471 NORTH DR, Gobles, MI 49055

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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

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 Otsego Family Medical Practice, PLLC's NPI number?

The NPI number for Otsego Family Medical Practice, PLLC is 1801920533. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Otsego Family Medical Practice, PLLC located?

Otsego Family Medical Practice, PLLC is located at 34471 North Dr, Gobles, MI 49055. The listed phone number is (269) 628-2789.

What is Otsego Family Medical Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Otsego Family Medical Practice, PLLC 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.