Owosso Medical Group, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

OWOSSO MEDICAL GROUP, PC

Practice address

200 Health Park Drive
Owosso, MI 48867

Phone

(989) 723-8666

Fax

(989) 729-4983

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Azmy A Allam, MDNPI 1285603027

Title

President & Ceo

Phone

(989) 723-8666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Owosso Medical Group, PC

  • Sleep Specialist (PhD)
  • Owosso, MI
  • NPI 1518119031
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azmy A Allam, MD

  • Internal Medicine Physician
  • Owosso, MI
  • NPI 1285603027
  Authorized official Same address or phone

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1023105418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DRIVE",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-723-8666",
            "fax_number": "989-729-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DRIVE",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-723-8666",
            "fax_number": "989-729-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOSSO MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "ALLAM",
        "authorized_official_first_name": "AZMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "989-723-8666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "700G810130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owosso Family Optometry Center PC (Owosso Family Optometry)
• Owosso Heart Institute
• Owosso Internal Medicine PC
• Owosso Medical Associates PC
• Owosso Medical Group Primary Care
• Owosso Medical Group, PC
• Owosso Orthodontics (Owosso Ortodontics)
• Owosso Surgical Associates, P.C.
• Keegan Pabst, LMSW
• Robert J Pace, MD

• Multi-Specialty Clinic/Center in Owosso, MI
• Providers in Owosso, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.