OPDYKE FAMILY MEDICAL P.C. NPI 1013043306

NPI Information

NPI: 1013043306
Provider Name: OPDYKE FAMILY MEDICAL, P.C.

Doing Business As: SPRINGFIELD FAMILY MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
719 S OPDYKE RD
AUBURN HILLS, MI
ZIP 48326
Phone: (248) 333-2600
Get Directions

OPDYKE FAMILY MEDICAL, P.C. is a family medicine in Auburn Hills, 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. OPDYKE FAMILY MEDICAL, P.C. NPI is 1013043306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Springfield Family Medical.

The provider's business location address is:

719 S OPDYKE RD
AUBURN HILLS, MI
ZIP 48326-436
Phone: (248) 333-2600
Fax: (248) 333-3250

The provider's authorized official is Matthew Frank Kulick .
The authorized official title is Doctor and has the following contact phone number (248) 333-2600.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 11/14/2012.

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
1	207Q00000X	Family Medicine		PH010351	MICHIGAN	No
2	207Q00000X	Family Medicine		MK010353	MICHIGAN	Yes

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
1	E49716	MEDICARE UPIN	MICHIGAN
2	F37107002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	HADUCK MR
3	E49715	MEDICARE UPIN	MICHIGAN
4	F37107001	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	KULICK MR
5	2802189	MEDICAID	MICHIGAN
6	2802198	MEDICAID	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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