PINE RIVER MEDICAL ASSOCIATES P.C. NPI 1538102694

NPI Information

  • NPI: 1538102694
  • Provider Name: PINE RIVER MEDICAL ASSOCIATES, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 14734 PARK AVE
    CHARLEVOIX, MI
    ZIP 49720
  • Phone: (231) 547-6554

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NPI Details

PINE RIVER MEDICAL ASSOCIATES, P.C. is a specialist in Charlevoix, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PINE RIVER MEDICAL ASSOCIATES, P.C. NPI is 1538102694. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14734 PARK AVE
CHARLEVOIX, MI
ZIP 49720
Phone: (231) 547-6554

The provider's authorized official is Pamela M Newcomb .
The authorized official title is Human Resource Officer and has the following contact phone number (231) 547-6554.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 8/22/2020.

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
1174400000XSpecialistDJ033990MICHIGANNo
2174400000XSpecialistFS039750MICHIGANNo
3174400000XSpecialistEN 045102MICHIGANNo
4174400000XSpecialistDM 076754MICHIGANNo
5174400000XSpecialistMB 070397MICHIGANNo
6174400000XSpecialistJM 066688MICHIGANNo
7174400000XSpecialistRT 046881MICHIGANYes

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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