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PRIMARY CARE SPORTS MEDICINE PC
NPI 1972658136
Family Medicine in Petoskey, MI

Active since January 25, 2007
560 W MITCHELL ST, SUITE 340, PETOSKEY, MI 49770(231) 348-9710(231) 348-9715 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Care Sports Medicine Pc NPPES

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

PRIMARY CARE SPORTS MEDICINE PC (NPI 1972658136) is a healthcare organization registered as a family medicine in Petoskey, Michigan and active in the NPI registry since January 2007. The organization lists Todd M Sheperd, President, as its authorized official.

NPPES Registry Identity

NPI1972658136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE SPORTS MEDICINE PC
Location Address560 W MITCHELL ST, SUITE 340Petoskey, MI 49770-2275
Mailing Address560 W Mitchell St, Suite 340Petoskey, MI 49770-2275 · (231) 348-9710 · Fax (231) 348-9715
Phone(231) 348-9710
Fax(231) 348-9715
Organization SubpartNo
Authorized OfficialTodd M SheperdPresident · (231) 348-9710
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2008
✔ NPI 1972658136 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 · 4301074786
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.
560 W MITCHELL ST, Petoskey, MI 49770
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Other Identifiers 3

Medicaid104701069MI
Medicare UPING65495MI
Medicare PIN0P09010

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

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.

BAYVIEW OB/GYN, PC
Obstetrics & Gynecology
560 W MITCHELL ST, STE 210
PETOSKEY, MI 49770
Emmet County (231) 487-2340
HARBOR ARTHRITIS CENTER, PC
Internal Medicine (Rheumatology)
560 W MITCHELL ST, STE 560
PETOSKEY, MI 49770
Emmet County (231) 487-2150
ROBERT JOHN SELEDOTIS D.O., P.C.
Neurological Surgery
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Emmet County (231) 487-3182
KRISTI LYNN DIPZINSKI NP-C
Nurse Practitioner (Adult Health)
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Emmet County (231) 487-2460
DR. VIRA C HEISE M.D.
Internal Medicine
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Emmet County (231) 487-2460
DANIEL E MCDONNELL M D P C
Internal Medicine (Pulmonary Disease)
560 W MITCHELL ST, STE 505
PETOSKEY, MI 49770
Emmet County (231) 487-2100
PETOSKEY EAR, NOSE & THROAT SPECIALISTS PLLC
Audiologist-Hearing Aid Fitter
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Emmet County (231) 487-3277
EILEEN V. PINKARD MD
Psychiatry & Neurology (Neurology)
560 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 487-3295

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 Primary Care Sports Medicine PC's NPI number?

The NPI number for Primary Care Sports Medicine PC is 1972658136. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Primary Care Sports Medicine PC located?

Primary Care Sports Medicine PC is located at 560 W Mitchell St Suite 340, Petoskey, MI 49770. The listed phone number is (231) 348-9710.

What is Primary Care Sports Medicine 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 Primary Care Sports Medicine PC was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.