Active NPI
Strategic Medical Services PC
- Emergency Medicine Physician
- Bay City, MI
National Provider Identifier
1154447035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- STRATEGIC MEDICAL SERVICES PC
- Practice address
- 1900 Columbus Ave
Bay City, MI 48708-6831 - Phone
- (989) 894-3145
- Fax
- (989) 894-6102
- NPI assigned
- Mar 22, 2007
- Last updated
- Aug 1, 2011
- 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
- Dr. Kenneth Whiteside, MD
- Title
- President
- Phone
- (989) 894-3145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Emergency Medicine Physician | 207P00000X | 4301046418 | MI | |
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
1900 Columbus Ave
Bay City, MI 48708-6831
Mailing address
4100 Embassy Drive SE
Suite 200
Grand Rapids, MI 49546-2416
Phone (616) 975-1845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Midland, MI
- NPI 1306043773
-
- Emergency Medicine Physician
- Bay City, MI
- NPI 1831271121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312156800000",
"number": "1154447035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 EMBASSY DRIVE SE",
"address_2": "SUITE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462416",
"telephone_number": "616-975-1845",
"fax_number": "616-285-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 COLUMBUS AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487086831",
"telephone_number": "989-894-3145",
"fax_number": "989-894-6102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRATEGIC MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2011-08-01",
"status": "A",
"authorized_official_last_name": "WHITESIDE",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-894-3145",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301046418",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.