Active NPI
Daoud Surgery & Family Medicine PC
- Family Medicine Physician
- Coldwater, MI
National Provider Identifier
1144435009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CD51012553
- Legal business name
- DAOUD SURGERY & FAMILY MEDICINE PC
- Practice address
- 356 E Chicago St
Suite a
Coldwater, MI 49036-2057 - Phone
- (517) 278-3675
- Fax
- (517) 279-0049
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trina Miller
- Title
- Office Manager
- Phone
- (517) 278-2675
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CD51012553 | MI | Primary |
| Surgery Physician | 208600000X |
Addresses
Primary practice location
356 E Chicago St
Suite a
Coldwater, MI 49036-2057
Mailing address
356 E Chicago St
Suite a
Coldwater, MI 49036-2057
Phone (517) 278-3675
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4528160 | Medicaid | MI | |
| 4528150 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
356 E Chicago St
Ste A
Coldwater, MI 49036
Phone (517) 278-3675
356 E Chicago St
Coldwater, MI 49036
Phone (517) 278-3675
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Coldwater, MI
- NPI 1235123175
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1134176670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1144435009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 E CHICAGO ST",
"address_2": "SUITE A",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490362057",
"telephone_number": "517-278-3675",
"fax_number": "517-279-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 E CHICAGO ST",
"address_2": "SUITE A",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490362057",
"telephone_number": "517-278-3675",
"fax_number": "517-279-0049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAOUD SURGERY & FAMILY MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "TRINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "517-278-2675"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "CD51012553",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4528160",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4528150",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.