Sweetwater Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SWEETWATER MEDICAL CENTER

Practice address

322 E Wright Ave
Shepherd, MI 48883

Phone

(989) 828-4614

Fax

(989) 828-6853

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan Daniels, PA-CNPI 1588998652

Title

Physician Assistant

Phone

(989) 828-4614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Amy B Janofski, RN, FNP

  • Nurse Practitioner
  • Shepherd, MI
  • NPI 1427654516

  MI

  Medicare reassignment Care Compare group NPD
• Jeffrey A Khabir, MD

  • Internal Medicine Physician
  • Mt Pleasant, MI
  • NPI 1790973188

  MI

  Medicare reassignment Care Compare group NPD
• Jonathan Michael Daniels, PA-C

  • Medical Physician Assistant
  • Alma, MI
  • NPI 1588998652

  MI

  Medicare reassignment Authorized official
• Holly Noelle Hnetynka, PA-C

  • Physician Assistant
  • Shepherd, MI
  • NPI 1114703634

  MI

  Medicare reassignment
• Gregory H Colbert, DPM

  • Podiatrist
  • Charlotte, MI
  • NPI 1558332015
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1043720253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E WRIGHT AVE",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839375",
            "telephone_number": "989-828-4614",
            "fax_number": "989-828-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E WRIGHT AVE",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "48883",
            "telephone_number": "989-828-4614",
            "fax_number": "989-828-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W Broadway St Ste B",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582446",
            "country_code": "US",
            "telephone_number": "989-828-4614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWEETWATER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "989-828-4614",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph C Ojibway, FNP
• Onstott Chiropractic PLLC
• Erica Lynn Oswald
• Christina Parrish
• Shepherd Clinic PLC
• Sweetwater Urgent Care
• Joanne Wallace, RN
• Emily Willoughby
• Wright Avenue Rehab, PLLC
• Angie Area Yuncker

• All providers in Shepherd, MI
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.