Physician Support Service, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4301030055 Issued in MI

Legal business name

PHYSICIAN SUPPORT SERVICE, INC.

Practice address

11615 Hartel Rd
Suite 206
Grand Ledge, MI 48837-9165

Phone

(517) 627-2181

Fax

(517) 622-1242

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David J Smith, M.D.

Title

President

Phone

(517) 627-2181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1043501935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 HARTEL RD",
            "address_2": "SUITE 206",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379165",
            "telephone_number": "517-627-2181",
            "fax_number": "517-622-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 HARTEL RD",
            "address_2": "SUITE 206",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379165",
            "telephone_number": "517-627-2181",
            "fax_number": "517-622-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SUPPORT SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-627-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301030055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "0802363691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Paine, D.O
• Erin Parcell, LPC
• Mindy Parshall
• Teresa L Patterson, LMSW
• Philip R Shriner DDS PC
• Physiotherapy Associates
• Physiotherapy Associates Inc (NovaCare Rehabilitation)
• Laura Plee, LLLPC
• Positive Family Dental PLLC
• Powerback Rehabilitation LLC

• Primary Care Clinic/Center in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.