LAKE HURON MEDICAL GROUP – NPI #1598141640
Family Medicine

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.

LAKE HURON MEDICAL GROUP is a provider located in FORT GRATIOT TOWNSHIP, MI. NPPES has assigned the NPI number 1598141640 to LAKE HURON MEDICAL GROUP on July 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE HURON MEDICAL GROUP” is a dba name, the actual legal business name for this organization is PORT HURON PHYSICIANS MEDICAL GROUP PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Mar 16, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE HURON MEDICAL GROUP below.

NPI Profile for
PORT HURON PHYSICIANS MEDICAL GROUP PC

NPI Number
1598141640
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORT HURON PHYSICIANS MEDICAL GROUP PC
Doing Business As (dba): LAKE HURON MEDICAL GROUP
Primary location
4190 24TH AVE
SUITE 206
FORT GRATIOT TOWNSHIP, MI 48059-3882
Phone: (810) 216-4000 Fax: (810) 216-4001
Mailing address
PO BOX 638928
CINCINNATI, OH 45263-0669
Phone: (810) 216-1884 Fax: (810) 216-3025
Organization Subpart
No
Authorized Official
JULIE BROWN-MCCOY
CBO MANAGER
Phone: (810) 216-2902
Updated
Certification Date
Mar 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.