Southern Michigan ENT P C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTHERN MICHIGAN ENT P C

Practice address

3600 Capital Ave SW
Suite 204
Battle Creek, MI 49015-9393

Phone

(269) 979-6444

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

John G. Bizon, M.D.

Title

President

Phone

(269) 979-6444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookside ENT & Hearing Services Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raakesh C Bhan, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Battle Creek, MI
  • NPI 1649278516
  NPD
• Laurie Floren Bennett, AUD

  • Audiologist-Hearing Aid Fitter
  • Wyoming, MI
  • NPI 1699894394
  NPD (past)
• Ross Alan Johnston, M.D.

  • Otolaryngology Physician
  • Lebanon, NH
  • NPI 1346299633
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1043428774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "SUITE 204",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "SUITE 204",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MICHIGAN ENT P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BIZON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-979-6444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "040A310320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside ENT & Hearing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Anne Soule
• Sound Moments, LLC
• South Shore Drive Direct Primary Care PLLC
• South Shore Speech LLC
• Jessica Southerland, RDH, BSDH
• Southern Michigan Orthopaedics PC
• Southern Michigan Orthopaedics PC
• Southwest Home Medical Equipment, LLC
• Southwest Michigan Eye Center PLC
• Southwest Michigan Oncology Associates PLLC

• Otolaryngology Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.