MERIDIAN PRIMARY CARE PC (NPI# 1629128418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629128418 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PRIMARY CARE PC |
| Practice Address |
2270 Jolly Oak Rd Suite1 Okemos MI 48864-4528 |
| Mailing Address |
2270 Jolly Oak Rd Suite 1 Okemos MI 48864-4528 |
| Practice Telephone | 5173496140 |
| Practice Fax Number | 5173496216 |
| Mailing Telephone | 5173496140 |
| Mailing Fax Number | 5173496216 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-06-05 |
| Authorized Official Name | DR. DENNIS J PERRY (OWNER) |
| Authorized Official Telephone | 5173496140 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | KC064356 | MI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | DP052522 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4187015 | 05 | |
| MI | 4186985 | 05 |
| Street Address |
2270 JOLLY OAK RD SUITE1 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871037 | Joseph Vincent Gonzalez | Podiatrist | 2270 Jolly Oak Rd, Ste 1, Okemos, MI 48864-4528 | 2005-06-13 |
| 1265982235 | Ancy Andrews | Nurse Practitioner | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-3542 | 2016-10-13 |
| 1720445810 | Troy C Thielen | Physician Assistant | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-3542 | 2016-01-21 |
| 1114253978 | Laura Vasquez Jean-francois | Nurse Practitioner | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-3542 | 2009-10-28 |
| 1104941400 | Capital Foot & Ankle Centers, PC | Podiatrist | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-4528 | 2007-03-19 |
| 1770578965 | Dennis James Perry | Family Medicine | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-4528 | 2005-09-14 |
| 1831184928 | Kashmira Chinoy | Family Medicine | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-4528 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194165829 | Tony Michael Abood | Family Medicine | 4285 Conifer Cir, Okemos, MI 48864-3259 | 2013-06-26 |
| 1710152392 | Theresa K Mckenna-climes | Family Medicine | 4367 Satinwood Dr, Okemos, MI 48864-3073 | 2008-04-24 |
| 1376629287 | Jerry J Chandler | Family Medicine | 2248 Mount Hope Rd, Ste. 100, Okemos, MI 48864-2501 | 2006-10-31 |
| 1053402065 | Gordon Clayton Spink | Family Medicine | 3910 Sandlewood Dr, Okemos, MI 48864-3628 | 2006-09-27 |
| 1467565440 | Maher George Al-sheikh | Family Medicine | 4780 Okemos Rd, Suite 4, Okemos, MI 48864-1669 | 2006-08-16 |
| 1558378323 | John D Wenzel | Family Medicine | 1667 Hamilton Rd, Okemos, MI 48864-1809 | 2006-08-02 |
| 1366478695 | Ruth Hanshin Yoon | Family Medicine | 4265 Okemos Rd, Suite H, Okemos, MI 48864-3285 | 2006-06-26 |
| 1346283074 | Arthur J Ronan | Family Medicine | 1881 W Grand River Ave, Okemos, MI 48864-1840 | 2006-06-13 |
| 1437102357 | Edward W. Sparrow Hospital Association | Family Medicine | 1600 W Grand River Ave, Suite 4, Okemos, MI 48864-2394 | 2006-05-19 |
| 1245298603 | George D Horn | Family Medicine | 2205 Jolly Rd, Ste A, Okemos, MI 48864 | 2006-05-03 |
| Find all providers in OKEMOS | ||||
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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.