Organization Active NPI

Owosso Medical Associates PC

  • Internal Medicine Physician
  • Owosso, MI
National Provider Identifier
1144257148
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301059658 Issued in MI
Legal business name
OWOSSO MEDICAL ASSOCIATES PC
Practice address
300 Health Park Dr.
Suite 304
Owosso, MI 48867
Phone
(989) 729-4222
Fax
(989) 729-4968
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Wael J Salman, MDNPI 1114954880
Title
Owner
Phone
(989) 729-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301059658 MI Primary

Addresses

Primary practice location

300 Health Park Dr.
Suite 304
Owosso, MI 48867

Mailing address

300 Health Park Dr
Ste 304
Owosso, MI 48867-1293
Phone (989) 729-4222

Other identifiers 1

IdentifierTypeStateIssuer
4467752MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000621 MI Part B Supplier - Clinic/Group Practice 0244273241 Receives reassigned benefits from 4 practitioners
Practice locations: Owosso, MI

National Provider Directory

National Provider Directory

Locations

300 Health Park Dr
Ste 304
Owosso, MI 48867
Phone (989) 729-4222

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1144257148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR",
            "address_2": "STE 304",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671293",
            "telephone_number": "989-729-4222",
            "fax_number": "989-729-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR.",
            "address_2": "SUITE 304",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-729-4222",
            "fax_number": "989-729-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOSSO MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "SALMAN",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-729-4222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301059658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4467752",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.