Northridge Family Practice LLC
NPI 1780803932 · Clinical Cardiac Electrophysiology Physician · Hale, MI
Northridge Family Practice LLC is a Clinical Cardiac Electrophysiology Physician organization in Hale, MI (NPI 1780803932).
Provider details
- NPI number
- 1780803932
- Entity type
- Organization
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debra Provoast, Owner(989) 728-6000
- License
- 4301061417 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2009-01-13
Frequently asked questions
- What is Northridge Family Practice LLC's NPI number?
- Northridge Family Practice LLC's National Provider Identifier (NPI) is 1780803932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northridge Family Practice LLC?
- Northridge Family Practice LLC is classified in the NPPES registry as Clinical Cardiac Electrophysiology Physician (Allopathic & Osteopathic Physicians).
- Where is Northridge Family Practice LLC located?
- Northridge Family Practice LLC's practice location on file with NPPES is 3190 Northridge Drive, Hale, MI 48739-9276.
- What is Northridge Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Northridge Family Practice LLC is (989) 728-6000.
- Who is the authorized official for Northridge Family Practice LLC?
- The authorized official listed on Northridge Family Practice LLC's NPPES record is Debra Provoast, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northridge Family Practice LLC's NPI active?
- Yes — Northridge Family Practice LLC's NPI (1780803932) is active in the NPPES registry as of the last update on 2009-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.