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UNIVERSITY MEDICAL SPECIALTIES PC NPI 1902086689


NPI Information

NPI: 1902086689
Provider Name: UNIVERSITY MEDICAL SPECIALTIES, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0377992

Address:
9045 US HIGHWAY 31
BERRIEN SPRINGS, MI
ZIP 49103
Phone: (269) 473-2222
Get Directions

UNIVERSITY MEDICAL SPECIALTIES, PC is a family medicine in Berrien Springs, 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. UNIVERSITY MEDICAL SPECIALTIES, PC NPI is 1902086689. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9045 US HIGHWAY 31
BERRIEN SPRINGS, MI
ZIP 49103-804
Phone: (269) 473-2222
Fax: (269) 473-6880

The provider's authorized official is Raeann Danene Long .
The authorized official title is Office Manager and has the following contact phone number (269) 473-2222.

The CLIA number assigned to this NPI record is 23D0377992 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 10/16/2008.


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
1207Q00000XFamily MedicineLH052398MICHIGANNo
2207R00000XInternal MedicineKK081055MICHIGANNo
3208000000XPediatricsKK081055MICHIGANNo
4103T00000XPsychologistLH009414MICHIGANNo
5103T00000XPsychologistFK271098MICHIGANNo
6103T00000XPsychologistNC007536MICHIGANNo
7207Q00000XFamily MedicineDR064962MICHIGANYes

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
10P17270MEDICARE PINMICHIGAN
2680A112130OTHERMICHIGANGROUP MENTAL HEALTH BCBSM PIN
3700A146860OTHERMICHIGANMEDICAL GROUP BCBSM PIN

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.