Michael Scott Smith, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003276 Issued in MI

Practice address

819 N Shiawassee St Ste 200
Owosso, MI 48867-1601

Phone

(989) 541-2663

Fax

(989) 723-3601

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: m.smith@memorialhealthcare.midirect.net
• Direct secure messaging: michaelsmith@memh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• DMC Orthopedic Billing Associates LLC

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1457387607
  NPD (past)
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)
• Memorial Hospital

  • General Practice Physician
  • Flushing, MI
  • NPI 1144428202

  Physician Assistant

  NPD (past)
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006

  Physician Assistant

  NPD (past)
• Memorial Hospital

  • General Practice Physician
  • Durand, MI
  • NPI 1609073709

  Physician Assistant

  NPD (past)
• Memorial Hospital

  • Home Health Agency
  • Owosso, MI
  • NPI 1952498610
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1003918855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 200",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 200",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Sturgis St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488792068",
            "country_code": "US",
            "telephone_number": "989-227-1371",
            "fax_number": "989-224-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003918855",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5601003276",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlene Frances Smith, D.O.
• Ekram M Smith, MD
• John Smith
• Kasia Smith
• Kerri Lynn Smith, RD
• Peyton Smith
• Shae Smith
• Sherri Lyn Smith
• Sobaks Home Medical Inc
• Timothy Soliz

• Physician Assistant in Owosso, MI
• Providers in Owosso, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.