West Branch Surgical Associates, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301042486 Issued in MI

Legal business name

WEST BRANCH SURGICAL ASSOCIATES, P.C.

Practice address

117 S Burgess St
West Branch, MI 48661-1403

Phone

(989) 345-2234

Fax

(989) 345-7066

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Jay Daniel Collins, M.D.NPI 1184714065

Title

President

Phone

(989) 345-2234

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jay Daniel Collins, M.D.

  • Surgery Physician
  • West Branch, MI
  • NPI 1184714065
  NPD (past) Authorized official
• Keven C Schattner, DO

  • Surgery Physician
  • Erie, PA
  • NPI 1518916790
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1083814701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611403",
            "telephone_number": "989-345-2234",
            "fax_number": "989-345-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611403",
            "telephone_number": "989-345-2234",
            "fax_number": "989-345-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRANCH SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-345-2234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301042486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Branch Neruology
• West Branch Opco, LLC
• West Branch Pediatrics
• West Branch Pharmacy LLC
• West Branch Regional Medical Center
• Thomas Emerson Westerfield, O.D.
• Stephanie Westfall
• Douglas White, PHARMD
• Susan Rayette White
• Carl Whittington

• All providers in West Branch, MI
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.