Owosso Heart Institute

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

510102740 Issued in MI

Legal business name

OWOSSO HEART INSTITUTE

Practice address

1350 E M 21 RM 100
Owosso, MI 48867-9047

Phone

(989) 729-9808

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Sherrie Brooks, DO

Title

Owner

Phone

(989) 729-9808

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Adriana Lucia, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1144231549
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1407067051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E M 21 RM 100",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679047",
            "telephone_number": "989-729-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E M 21 RM 100",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679047",
            "telephone_number": "989-729-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOSSO HEART INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-729-9808",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "510102740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0P10890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244059",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoe Otte
• Delana Owens
• Owosso Dental Associates, PC
• Owosso Eye Care
• Owosso Family Optometry Center PC
• Owosso Internal Medicine PC
• Owosso Medical Associates PC
• Owosso Medical Group Primary Care
• Owosso Medical Group, PC
• Owosso Medical Group, PC

• Cardiovascular Disease Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.