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Pine Trees Medical Office PC

Internal Medicine Physician in Jerome, MI · enumerated 2005 · authorized official Roy Boyer, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487648374

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Registry record

Entity type Organization (Type 2)
Legal business name Pine Trees Medical Office PC
Other name <Unavail>
Practice address 11610 Waldron Rd, Jerome, MI, 49249
Fax (517) 688-4842
Enumeration date Sep 7, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 4301028315 (MI) Primary

Authorized official

Name Roy Boyer
Title President

Other identifiers

Identifier Type State Issuer
P41335 Other MI BLUE CARE NETWORK HMO
1 106914130 Other MI BCBS
4462854 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Pine Trees Medical Office PC located?
The practice location on file with NPPES is in Jerome, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.