Active NPI
John R Socey, D.O.
- Surgery Physician
- Flint, MI
National Provider Identifier
1316972581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101005881
- Practice address
- G3169 Beecher Rd
Suite 102
Flint, MI 48532-3611 - Phone
- (810) 767-1420
- Fax
- (810) 767-4685
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101005881 | MI | Primary |
Addresses
Primary practice location
G3169 Beecher Rd
Suite 102
Flint, MI 48532-3611
Mailing address
G3169 Beecher Rd
Suite 102
Flint, MI 48532-3611
Phone (810) 767-1420
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8253048 | Other | MI | BLUE CROSS |
| E26181 | Other | MI | HAP |
| 4073496 | Other | MI | AETNA |
| C1630 | Other | MI | MCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101005881 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316972581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G3169 BEECHER RD",
"address_2": "SUITE 102",
"city": "FLINT",
"state": "MI",
"postal_code": "485323611",
"telephone_number": "810-767-1420",
"fax_number": "810-767-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3169 BEECHER RD",
"address_2": "SUITE 102",
"city": "FLINT",
"state": "MI",
"postal_code": "485323611",
"telephone_number": "810-767-1420",
"fax_number": "810-767-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCEY",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101005881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8253048",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "E26181",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4073496",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C1630",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.