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PORT HURON PHYSICIANS MEDICAL GROUP PC
NPI 1902281736
General Practice in Fort Gratiot, MI

Active since July 22, 2015
4190 24TH AVE, STE 206, FORT GRATIOT, MI 48059(810) 989-7700 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Port Huron Physicians Medical Group Pc NPPES

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

PORT HURON PHYSICIANS MEDICAL GROUP PC (NPI 1902281736) is a healthcare organization registered as a general practice in Fort Gratiot, Michigan and active in the NPI registry since July 2015. The organization lists Rebekah Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902281736
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePORT HURON PHYSICIANS MEDICAL GROUP PC
Location Address4190 24TH AVE, STE 206Fort Gratiot, MI 48059-3882
Mailing Address4190 24th Ave, Ste 206Fort Gratiot, MI 48059-3882 · (810) 989-7700
Phone(810) 989-7700
Organization SubpartNo
Authorized OfficialRebekah SmithCeo · (810) 985-1510
Enumeration DateJuly 22, 2015
✔ NPI 1902281736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
4190 24TH AVE, Fort Gratiot, MI 48059
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

BEVERLIE HOUSER AGPCNP-BC
Nurse Practitioner (Gerontology)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
PRIME GARDEN CITY MEDICAL GROUP
Internal Medicine
4190 24TH AVE, SUITE 206
FORT GRATIOT, MI 48059
St. Clair County (810) 216-4000
FARRUKH ZAMAN NAQVI M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
NEUROSLEEP CENTER PLLC
Psychiatry & Neurology (Sleep Medicine)
4190 24TH AVE, SUITE 210
FORT GRATIOT, MI 48059
St. Clair County (810) 216-1901
PRIME HEALTHCARE SERVICES-PORT HURON, LLC
Clinic/Center (Ambulatory Surgical)
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7700
DANIEL C SOUPHIS D.O.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788
FAHIM K IBRAHIM M.D., P.C.
Specialist
4190 24TH AVE, SUITE 204
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7702
CHRISTOPHER J BORGIEL M.D.
Family Medicine
4190 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 989-7788

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 Port Huron Physicians Medical Group PC's NPI number?

The NPI number for Port Huron Physicians Medical Group PC is 1902281736. It was assigned to this organization in the NPPES registry on July 22, 2015.

Where is Port Huron Physicians Medical Group PC located?

Port Huron Physicians Medical Group PC is located at 4190 24th Ave Ste 206, Fort Gratiot, MI 48059. The listed phone number is (810) 989-7700.

What is Port Huron Physicians Medical Group PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Port Huron Physicians Medical Group PC was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.