Organization Active NPI

Mason Family Medicine, PLLC

  • Family Medicine Physician
  • Mason, MI
National Provider Identifier
1053859017
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015543 Issued in MI
Legal business name
MASON FAMILY MEDICINE, PLLC
Practice address
839 S Cedar St
Ste 100
Mason, MI 48854-2063
Phone
(517) 214-2239
Fax
(517) 978-0018
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Dr. Steven Owens, MD
Title
Owner
Phone
(517) 214-2239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101015543 MI Primary

Addresses

Primary practice location

839 S Cedar St
Ste 100
Mason, MI 48854-2063

Mailing address

839 S Cedar St
Ste 100
Mason, MI 48854-2063
Phone (517) 214-2239

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1053859017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S CEDAR ST",
            "address_2": "STE 100",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542063",
            "telephone_number": "517-214-2239",
            "fax_number": "517-978-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S CEDAR ST",
            "address_2": "STE 100",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542063",
            "telephone_number": "517-214-2239",
            "fax_number": "517-978-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-214-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.