Alpine Family Medicine PLC
NPI 1174577720ActiveOrganization· Family Medicine· Gaylord, MI
Family Medicine in Gaylord, Michigan, registered in NPPES in May 2006. The authorized official on file is Derek David Olson, MD, Md/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174577720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Jan 6, 2021 |
| Certified by provider | Jan 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | KK030249 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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