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JAMES L WEATHERHEAD MD LLC NPI 1184894644


NPI Information

NPI: 1184894644
Provider Name: JAMES L WEATHERHEAD MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1005 W GREEN ST
SUITE G100
HASTINGS, MI
ZIP 49058
Phone: (269) 948-7820
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JAMES L WEATHERHEAD MD LLC is a family medicine in Hastings, MI. The provider is 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. JAMES L WEATHERHEAD MD LLC NPI is 1184894644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1005 W GREEN ST
SUITE G100
HASTINGS, MI
ZIP 49058-712
Phone: (269) 948-7820
Fax: (269) 948-2458

The provider's authorized official is James Lee Weatherhead .
The authorized official title is Owner and has the following contact phone number (269) 948-7820.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 1/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B47384MEDICARE UPINMICHIGAN
20800822151OTHERMICHIGANBLUE CARE NETWORK
30800822151OTHERMICHIGANBLUE CROSS BLUE SHIELD
4209975510MEDICAIDMICHIGAN
50593620001MEDICARE NSCMICHIGAN
60082215MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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