PINE MEDICAL GROUP P.C. NPI 1376512764

NPI Information

  • NPI: 1376512764
  • Provider Name: PINE MEDICAL GROUP, P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 211 W PINE LAKE DR
    NEWAYGO, MI
    ZIP 49337
  • Phone: (231) 652-1631

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NPI Details

PINE MEDICAL GROUP, P.C. is a family medicine in Newaygo, 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. PINE MEDICAL GROUP, P.C. NPI is 1376512764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 W PINE LAKE DR
NEWAYGO, MI
ZIP 49337-029
Phone: (231) 652-1631
Fax: (231) 652-1733

The provider's authorized official is Marge Young .
The authorized official title is Administrator and has the following contact phone number (231) 924-4200.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 5/14/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
2208000000XPediatricsNo
3207X00000XOrthopaedic SurgeryNo
4208600000XSurgeryNo
5363AS0400XPhysician AssistantSurgicalNo
6363L00000XNurse PractitionerNo
7261QR1300XClinic/CenterRural HealthNo
8207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OF260079082OTHERMICHIGANMEDICARE COMMON PROVIDER
20F26007MEDICARE PINMICHIGAN
3OF260079082MEDICARE PINMICHIGAN
4233880MEDICARE OSCAR/CERTIFICATIONMICHIGAN

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: 11/21/2025

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