Active NPI
Tri-County Emergency Physicians PC
- Emergency Medicine Physician
- Owosso, MI
National Provider Identifier
1356557631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TRI-COUNTY EMERGENCY PHYSICIANS PC
- Practice address
- 826 W King St
Owosso, MI 48867-2120 - Phone
- (517) 487-5585
- Fax
- (517) 487-1129
- NPI assigned
- May 15, 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
- Joseph M Bustamante III, DO
- Title
- President
- Phone
- (586) 294-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
826 W King St
Owosso, MI 48867-2120
Mailing address
17717 Masonic Blvd
Fraser, MI 48026-3158
Phone (586) 294-2700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1356557631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17717 MASONIC BLVD",
"city": "FRASER",
"state": "MI",
"postal_code": "480263158",
"telephone_number": "586-294-2700",
"fax_number": "586-294-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 W KING ST",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672120",
"telephone_number": "517-487-5585",
"fax_number": "517-487-1129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY EMERGENCY PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "BUSTAMANTE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-294-2700",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.