Active NPI
Tammy Z. Movsas, M.D.
- Public Health & General Preventive Medicine Physician
- Midland, MI
National Provider Identifier
1285794685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 4301085057
- Practice address
- 220 West Ellsworth St
Midland County Dept of Public Health
Midland, MI 48640 - Phone
- (989) 832-6380
- NPI assigned
- Dec 8, 2006
- Last updated
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301085057 | MI | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4301085057 | MI | Primary |
Addresses
Primary practice location
220 West Ellsworth St
Midland County Dept of Public Health
Midland, MI 48640
Mailing address
220 West Ellsworth St
Midland County Dept of Public Health
Midland, MI 48640
Phone (989) 832-6380
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180H262240 | Other | BLUE CROSS-BLUE CROSS | |
| 475108910 | Medicaid | MI | |
| TM085057 | Other | CHAMPUS-CHAMPUS | |
| TM085057 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085057 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Midland | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midland County Health Department
- State or Local Public Health Clinic/Center
- Midland, MI
- NPI 1295741551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1285794685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WEST ELLSWORTH ST",
"address_2": "MIDLAND COUNTY DEPT OF PUBLIC HEALTH",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-832-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WEST ELLSWORTH ST",
"address_2": "MIDLAND COUNTY DEPT OF PUBLIC HEALTH",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-832-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVSAS",
"first_name": "TAMMY",
"middle_name": "Z.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301085057",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "4301085057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "180H262240",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475108910",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "TM085057",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "TM085057",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.