SOUTH SHORE FAMILY PRACTICE PC – NPI #1720115173
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.

Health Care Provider Taxonomy Code for Family Medicine

SOUTH SHORE FAMILY PRACTICE PC is a provider located in MARQUETTE, MI. NPPES has assigned the NPI number 1720115173 to SOUTH SHORE FAMILY PRACTICE PC on February 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH SHORE FAMILY PRACTICE PC” is a dba name, the actual legal business name for this organization is STEVENS & HARDIE FAMILY PRACTICE PC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Mar 23, 2023. 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 SOUTH SHORE FAMILY PRACTICE PC below.

NPI Profile for
STEVENS & HARDIE FAMILY PRACTICE PC

NPI Number
1720115173
Enumeration Date

(more than 19 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
STEVENS & HARDIE FAMILY PRACTICE PC
Doing Business As (dba): SOUTH SHORE FAMILY PRACTICE PC
Other name(s)
All associated names:
Doing Business As (dba)
South Shore Family Practice
Doing Business As (dba)
South Shore Family Practice PC
Primary location
107 W MAIN ST
MARQUETTE, MI 49855-4604
Phone: (906) 225-3988 Fax: (906) 225-4707
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SPRING MADOSH
DOCTOR PRESIDENT
Phone: (906) 225-3988
Updated
Certification Date
Mar 23, 2023

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.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MI

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.