Active NPI
Southwestern Michigan Emergency Services, PC
- Emergency Medical Services (Emergency Medicine) Physician
- Paw Paw, MI
National Provider Identifier
1033396023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC
- Practice address
- 408 Hazen St
Emergency Department
Paw Paw, MI 49079-1019 - Phone
- (269) 343-3900
- NPI assigned
- Jan 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Demoss, DO
- Title
- President
- Phone
- (269) 343-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MI | Primary |
Addresses
Primary practice location
408 Hazen St
Emergency Department
Paw Paw, MI 49079-1019
Mailing address
8993 Reliable Parkway
Chicago, IL 60686-0001
Phone (866) 898-7139
National Provider Directory
National Provider Directory- Tax ID family
- Southwestern Michigan Emergency Services PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Kalamazoo, MI
- NPI 1811174899
Locations
8993 Reliable Pkwy
Chicago, IL 60686
408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1033396023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8993 RELIABLE PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "866-898-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 HAZEN ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791019",
"telephone_number": "269-343-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "DEMOSS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-343-3900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.