Organization Active NPI

Surgical Associates of Midmichigan PC

  • Specialist
  • Midland, MI
National Provider Identifier
1376618595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301059228 Issued in MI
Legal business name
SURGICAL ASSOCIATES OF MIDMICHIGAN PC
Practice address
4007 Orchard Dr
Suite 2003
Midland, MI 48640-6113
Phone
(989) 631-6710
Fax
(989) 631-8583
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James R Shepich, M.D.NPI 1871539585
Title
Presicent
Phone
(989) 631-6710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301059228 MI Primary

Addresses

Primary practice location

4007 Orchard Dr
Suite 2003
Midland, MI 48640-6113

Mailing address

4007 Orchard Dr
Suite 2003
Midland, MI 48640-6113
Phone (989) 631-6710

National Provider Directory

National Provider Directory

Locations

4201 Campus Ridge Dr
Ste 2
Midland, MI 48640

Interoperability endpoints

  • Direct secure messaging: jamesshepich@sammpc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376618595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 ORCHARD DR",
            "address_2": "SUITE 2003",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406113",
            "telephone_number": "989-631-6710",
            "fax_number": "989-631-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 ORCHARD DR",
            "address_2": "SUITE 2003",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406113",
            "telephone_number": "989-631-6710",
            "fax_number": "989-631-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MIDMICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESICENT",
        "authorized_official_telephone_number": "989-631-6710",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301059228",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.

Verify at the official NPI Registry.