Active NPI
Douglas Fay Strong, MD
- Family Medicine Physician
- Owosso, MI
National Provider Identifier
1205905098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DS042008
- Practice address
- 320 N Washington St
Owosso, MI 48867-2823 - Phone
- (989) 723-8216
- Fax
- (989) 729-0850
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DS042008 | MI | Primary |
Addresses
Primary practice location
320 N Washington St
Owosso, MI 48867-2823
Mailing address
320 N Washington St
Owosso, MI 48867-2823
Phone (989) 723-8216
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108120 | Medicaid | MI | |
| 0100650 | Other | PHP | |
| 0807800041 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110207000963 | MI | Practitioner - Family Practice | 1153501275 | Practice locations: Owosso, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042008 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1205905098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N WASHINGTON ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672823",
"telephone_number": "989-723-8216",
"fax_number": "989-729-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N WASHINGTON ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672823",
"telephone_number": "989-723-8216",
"fax_number": "989-729-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG",
"first_name": "DOUGLAS",
"middle_name": "FAY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "DS042008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0100650",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0807800041",
"state": null
}
],
"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 Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.