Midmichigan Obstetrics and Gynecology P C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301050197 Issued in MI

Legal business name

MIDMICHIGAN OBSTETRICS AND GYNECOLOGY P C

Practice address

3016 W Wackerly St
Midland, MI 48640-6160

Phone

(989) 631-6730

Fax

(989) 631-4968

NPI assigned

Nov 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Scott Allen Thiele, MDNPI 1629141551

Title

Owner

Phone

(989) 631-6730

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10026655

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Allen Thiele, MD

  • Obstetrics & Gynecology Physician
  • Midland, MI
  • NPI 1629141551
  Medicare reassignment Care Compare group NPD Authorized official
• Shawna Marie Ruple, M.D.

  • Obstetrics & Gynecology Physician
  • Midland, MI
  • NPI 1770803587
  Medicare reassignment Care Compare group NPD
• Barbara Kovalchik, ARNP RN

  • Women's Health Nurse Practitioner
  • Midland, MI
  • NPI 1255309886
  Medicare reassignment Care Compare group
• Bethany M Gilling, FNP-BC

  • Family Nurse Practitioner
  • Detroit, MI
  • NPI 1043901978
  NPD
• Kara Smith, FNP-C

  • Family Nurse Practitioner
  • Midland, MI
  • NPI 1386314581
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1346313277",
    "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": "MIDMICHIGAN OBSTETRICS AND GYNECOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-11-20",
        "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": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301050197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E660200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midmichigan Health
• Midmichigan Health Services
• Midmichigan Home Health Services
• Midmichigan Home Health Services
• Midmichigan Home Health Services
• Midmichigan Regional Imaging
• Midmichigan Stratford Village
• Midmichigan Urgent Care
• Midmichigan Urgent Care Freeland
• Midmichigan Urgent Care Midland

• Obstetrics & Gynecology Physician in Midland, MI
• Providers in Midland, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.