COLUMBIAVILLE FAMILY CLINIC PLLC (NPI# 1457716102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457716102 |
| Entity Type | Organization |
| Organization Name | COLUMBIAVILLE FAMILY CLINIC PLLC |
| Other Organization Name | DEERFIELD COMPASSIONATE CARE FAMILY PRACTICE |
| Practice Address |
5830 N Lapeer Rd Ste B North Branch MI 48461-9660 |
| Practice Telephone | 8102709301 |
| Practice Fax Number | 8102709302 |
| Mailing Telephone | 8102709301 |
| Mailing Fax Number | 8102709302 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | NAVEED MAHFOOZ (OWNER) |
| Authorized Official Telephone | 9896722100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4301059644 | MI | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PIN | MI9475 | 01 |
| MI | CV0064209 | 05 |
| Other Name | Type Code |
|---|---|
| Deerfield Compassionate Care Family Practice | Doing Business As Name - Organization |
| Street Address |
5830 N LAPEER RD STE B |
| City | NORTH BRANCH |
| State | MI |
| Zip Code | 48461-9660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083153332 | Nikole M Mclean | Nurse Practitioner | 5830 N Lapeer Rd Ste B, North Branch, MI 48461-9660 | 2017-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407908353 | Dental Health Care | Dentist | 6668 Bernie Kohler Dr, Dental Health Care, North Branch, MI 48461 | 2007-01-18 |
| 1396850392 | Ola Michael Sitto | Dentist | 5830 N Lapeer Rd, North Branch, MI 48461 | 2006-08-20 |
| 1417961368 | Wiebke Papenfus | Occupational Therapist | 5832 North Lapeer Rd, Full Circle Physical Therapy Suite A, North Branch, MI 48461 | 2006-07-28 |
| 1871797571 | Marlette Regional Hospital | Family Medicine | 4000 Huron St, North Branch, MI 48461 | 2007-06-14 |
| 1518978675 | Shannon Michael | Physical Therapist | 5832 North Lapeer Rd, Full Circle Physical Therapy Suite A, North Branch, MI 48461 | 2006-08-11 |
| 1891806394 | Advanced Pharmacy & Nutrition Center | Pharmacy | 3960 Huron St, North Branch, MI 48461-6122 | 2006-08-31 |
| 1225249832 | Peggy Louise Strack | Pharmacist | 3960 Huron St, North Branch, MI 48461-6122 | 2007-05-24 |
| 1467534255 | Huron Street Pharmacy | Pharmacy | 3960 Huron St, North Branch, MI 48461-6122 | 2006-10-20 |
| 1992162424 | Debra Bennett | Licensed Practical Nurse | 5764 Cobblestone Dr, North Branch, MI 48461-7925 | 2016-01-28 |
| 1194057042 | Katie Lynn Birkenhauer | Chiropractor | 3915 Mill St, North Branch, MI 48461-8004 | 2010-02-03 |
| Find all providers in zip 48461 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANCH |
| Zip Code | 48461 |
Please comment or provide details below to improve the information on COLUMBIAVILLE FAMILY CLINIC PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.