NPIMap

Organization Active NPI

Ambulatory United

  • Surgery Physician
  • Greenville, MI
National Provider Identifier
1033440565
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
590060 Issued in MI
Legal business name
AMBULATORY UNITED
Practice address
421 S Baldwin St
Greenville, MI 48838-2102
Phone
(616) 225-8667
Fax
(616) 225-8677
NPI assigned
Jan 22, 2010
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Priscilla K Mahar, COO
Title
Chief Operating Officer
Phone
(616) 225-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 590060 MI Primary

Addresses

Primary practice location

421 S Baldwin St
Greenville, MI 48838-2102

Mailing address

PO Box 75
300 N Patterson
Reed City, MI 49677-0075
Phone (231) 832-8509

National Provider Directory

National Provider Directory

Locations

1003 N Lafayette St
Ste 2
Greenville, MI 48838
Phone (616) 754-3001

618 W Main St
Stanton, MI 48888
Phone (517) 831-5501

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1033440565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "address_2": "300 N PATTERSON",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496770075",
            "telephone_number": "231-832-8509",
            "fax_number": "231-832-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S BALDWIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382102",
            "telephone_number": "616-225-8667",
            "fax_number": "616-225-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "MAHAR",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "616-225-6313",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "590060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.