SENIOR MEDICAL CORP. P.C. NPI 1871677955

NPI Information

  • NPI: 1871677955
  • Provider Name: SENIOR MEDICAL CORP. P.C.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 3944 S BRENLOR DR
    HESPERIA, MI
    ZIP 49421
  • Phone: (231) 854-2999

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NPI Details

SENIOR MEDICAL CORP. P.C. is a geriatric medicine family medicine in Hesperia, MI. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SENIOR MEDICAL CORP. P.C. NPI is 1871677955. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3944 S BRENLOR DR
HESPERIA, MI
ZIP 49421-585
Phone: (231) 854-2999
Fax: (231) 854-2998

The provider's authorized official is Raymond D Tracy .
The authorized official title is Medical Director and has the following contact phone number (231) 854-2999.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 2/13/2012.

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
1207QG0300XFamily MedicineGeriatric MedicineRT007455MICHIGANYes

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
1P00449750OTHERMICHIGANRAIL ROAD MEDICARE
2P00232094OTHERMICHIGANRAIL ROAD MEDICARE
3E26695MEDICARE UPINMICHIGAN
40P18410MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
5P00694735OTHERMICHIGANRAIL ROAD MEDICARE
64260509MEDICAIDMICHIGAN

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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