PINE MEDICAL GROUP, PC
NPI 1770791147
Family Medicine in Fremont, MI
NPI Status: Active since May 18, 2007
Contact Information
230 W OAK ST
FREMONT, MI
ZIP 49412
Phone: (231) 924-4200
Fax: (231) 924-2027
- Organization
- Family Medicine
About PINE MEDICAL GROUP, PC
This page provides the complete NPI Profile along with additional information for Pine Medical Group, Pc, a primary care provider established in Fremont, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1770791147 assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Pine Medical Group, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Marge Young (Adminstrator)
- NPI
- 1770791147
- Provider Name
- PINE MEDICAL GROUP, PC
- Entity Type
- Organization
- Location Address
- 230 W OAK ST FREMONT, MI 49412
- Location Phone
- (231) 924-4200
- Location Fax
- (231) 924-2027
- Mailing Address
- 230 W OAK ST FREMONT, MI 49412
- Mailing Phone
- (231) 924-4200
- Mailing Fax
- (231) 924-2027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2007
- Last Update Date
- 05-14-2010
- Code Navigator
A primary care provider (PCP) like Pine Medical Group, Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 4 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 5 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 233851 | MEDICARE OSCAR/CERTIFICATION (06) | MI | |
| OF260079082 | OTHER (01) | MI | MEDICARE COMMON PROVIDER |
| 0F26007 | MEDICARE PIN (08) | MI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 7 | 9 | 1 | 1 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 14 | 9 | 2 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 1 + 4 + 9 + 2 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1770791147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275585747 | ROBERT C. CLOUSE M.D. Individual | Family Medicine | 230 W OAK ST SUITE 201 FREMONT, MI 49412 (231) 924-4200 |
| 1679512966 | ARIE J. VANDERWEIDE D.O. Individual | Obstetrics & Gynecology | 230 W OAK ST SUITE 201 FREMONT, MI 49412 (231) 924-4200 |
| 1093980187 | PINE MEDICAL GROUP PC Organization | Family Medicine | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1588830848 | MICHIGAN MEDICAL PATIENT CARE Organization | Internal Medicine (Sleep Medicine) | 230 W OAK ST FREMONT, MI 49412 (616) 949-8255 |
| 1164650024 | NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION Organization | Specialist | 230 W OAK ST LOWER LEVEL FREMONT, MI 49412 (231) 924-1305 |
| 1487924932 | RUTH RIGGLE R.N. Individual | Registered Nurse | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1396015848 | KRISY L HANNA R.N. Individual | Registered Nurse | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1548530397 | TAMELA M KELLY R.N. Individual | Registered Nurse | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1578833224 | DEBORAH A DONEFF R.N. Individual | Registered Nurse | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1396016515 | TRISHA KULCZYSKI R.N. Individual | Registered Nurse | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1306117528 | JENNIFER M DEUR R.N. Individual | Registered Nurse | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1447695903 | WEST MICHIGAN HEART Organization | Internal Medicine (Cardiovascular Disease) | 230 W OAK ST FREMONT, MI 49412 (616) 885-5000 |
| 1912320904 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Clinic/Center (Rural Health) | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1366492852 | RICHARD S. BOSS M.D. Individual | Family Medicine | 230 W OAK ST SUITE 201 FREMONT, MI 49412 (231) 924-4200 |
| 1043262918 | DOUGLAS A. JOHNSON M.D. Individual | Surgery | 230 W OAK ST SUITE 201 FREMONT, MI 49412 (231) 924-4200 |
| 1265484067 | JAMES J. MEAD FNP Individual | Nurse Practitioner (Family) | 230 W OAK ST SUITE 201 FREMONT, MI 49412 (231) 924-4200 |
| 1801849120 | THEODORE J. VANDERKOOI M.D. Individual | Surgery | 230 W OAK ST SUITE 201 FREMONT, MI 49412 (231) 924-4200 |
| 1891957262 | KATHERINE E SHAFER MD Individual | Surgery | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1740291756 | CATHY L STOUT PA Individual | Physician Assistant (Medical) | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
| 1619021961 | MR. ARTHUR CRAIG DRENTH LMSW Individual | Social Worker (Clinical) | 230 W OAK ST FREMONT, MI 49412 (231) 924-4200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770791147, enumerated in the NPI registry as an "organization" on May 18, 2007
The provider is located at 230 W Oak St Fremont, Mi 49412 and the phone number is (231) 924-4200
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.