PRIMARY CARE MEDICINE, PC (NPI# 1558759183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558759183 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE MEDICINE, PC |
| Practice Address |
14272 N Fenton Rd Fenton MI 48430-1544 |
| Mailing Address |
8359 Office Park Dr Suite B Grand Blanc MI 48439-2078 |
| Practice Telephone | 8107145100 |
| Practice Fax Number | 8107145101 |
| Mailing Telephone | 8102660206 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | MS. ZINA BACHUWA (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8102660206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
14272 N FENTON RD |
| City | FENTON |
| State | MI |
| Zip Code | 48430-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467690131 | My Le Shaw | Ophthalmology | 14272 N Fenton Rd, Fenton, MI 48430-1544 | 2009-02-03 |
| 1750915393 | Eye Associates of Michigan, Plc | Ophthalmology | 14272 N Fenton Rd, Fenton, MI 48430-1544 | 2020-02-22 |
| 1902199862 | Christopher Iacobelli Md PC | Family Medicine | 14272 N Fenton Rd, Fenton, MI 48430-1544 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770782005 | Patrick Joseph Stover | Internal Medicine | 7286 Surfwood Dr, Fenton, MI 48430-9353 | 2007-07-17 |
| 1780899047 | Dean Edward Fior | Internal Medicine | 9448 Dean Rd, Fenton, MI 48430-9317 | 2007-05-11 |
| 1134283260 | Covington Medical Group | Internal Medicine | 1747 Smizer Station Rd Ste 3a, Fenton, MO 63026-2784 | 2006-12-21 |
| 1386707396 | Jerald A Maslanko | Internal Medicine | 1391 Smizer Mill Rd, Fenton, MO 63026-7306 | 2006-12-19 |
| 1376579037 | Susan Swope, Md | Internal Medicine | 520 Center St, 103, Fenton, MO 63026-4157 | 2006-06-24 |
| 1104872068 | Timothy James Pratt | Internal Medicine | 1011 Bowles Avenue, Suite 121, Fenton, MO 63026 | 2006-05-25 |
| 1124079512 | Robert L Mccarthy | Internal Medicine | 3220 W Silver Lake Rd, Fenton, MI 48430-1374 | 2006-05-12 |
| 1679546592 | Rachel Meenu George | Internal Medicine | 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 | 2006-02-10 |
| 1821088162 | Soon A Choi | Internal Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2005-10-27 |
| 1649272477 | Niketa Dani | Internal Medicine | 102 N Adelaide St, Fenton, MI 48430-2670 | 2005-08-11 |
| Find all providers in FENTON | ||||
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| 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.