Active NPI
Mid Michigan Obstetrics & Gynecology PC
- Nurse Practitioner
- Midland, MI
National Provider Identifier
1295889004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MID MICHIGAN OBSTETRICS & GYNECOLOGY PC
- Practice address
- 3016 W Wackerly St
Midland, MI 48640-6160 - Phone
- (989) 631-6730
- Fax
- (989) 631-4968
- NPI assigned
- Jan 22, 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
- Dr. Scott Allen Thiele, MD
- Title
- Owner
- Phone
- (989) 631-6730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | MI | Primary |
Addresses
Primary practice location
3016 W Wackerly St
Midland, MI 48640-6160
Mailing address
3016 W Wackerly St
Midland, MI 48640-6160
Phone (989) 631-6730
National Provider Directory
National Provider Directory- Tax ID family
- Mid Michigan Obstetrics Gynecology PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Advanced Practice Midwife
- Midland, MI
- NPI 1245384577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295889004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3016 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406160",
"telephone_number": "989-631-6730",
"fax_number": "989-631-4968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3016 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406160",
"telephone_number": "989-631-6730",
"fax_number": "989-631-4968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID MICHIGAN OBSTETRICS & GYNECOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THIELE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-631-6730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
- Michigan Acupuncture Clinics PLLC
- Michigan Orthopedic Services LLC
- Mid Michigan Anesthesiology Group, PC
- Mid Michigan Community Action Agency
- Mid Michigan Obstetrics & Gynecology PC
- Mid-Michigan Facilitation
- Mid-Michigan Pediatric Gastroenterology PLLC
- Mid-Michigan Physical Therapy and Rehab Specialists, LLC
- Mid-Mitten Psychological Services LLC
- Mid-Modern Eye Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.