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PARTRIDGE FAMILY PHYSICIANS PC NPI 1043422132


NPI Information

NPI: 1043422132
Provider Name: PARTRIDGE FAMILY PHYSICIANS PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 23D0723019

Address:
43201 COMMONS DRIVE
CLINTON TWP, MI
ZIP 48038
Phone: (586) 228-0780
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PARTRIDGE FAMILY PHYSICIANS PC is a general practice in Clinton Twp, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PARTRIDGE FAMILY PHYSICIANS PC NPI is 1043422132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

43201 COMMONS DRIVE
CLINTON TWP, MI
ZIP 48038
Phone: (586) 228-0780
Fax: (586) 228-1809

The provider's authorized official is Tracy Cockream .
The authorized official title is Biller and has the following contact phone number (586) 228-0780.

The CLIA number assigned to this NPI record is 23D0723019 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/16/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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
10E06329MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE GROUP
20E06329OTHERMICHIGANBLUE CROSS BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.