Individual provider Active NPI

Drew E Styma, ATC

  • Athletic Trainer
  • Petoskey, MI
National Provider Identifier
1417377235
Registry record updated Apr 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2601001146 Issued in MI
Practice address
1333 Spring St
Petoskey, MI 49770-8720
Phone
(231) 487-4638
Fax
(231) 487-4615
NPI assigned
Apr 19, 2014
Last updated
Apr 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2601001146 MI Primary

Addresses

Primary practice location

1333 Spring St
Petoskey, MI 49770-8720

Mailing address

1333 Spring St
Petoskey, MI 49770-8720
Phone (231) 487-4638

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2601001146MIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy I Bondy Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397865600000",
    "number": "1417377235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708720",
            "telephone_number": "231-487-4638",
            "fax_number": "231-487-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708720",
            "telephone_number": "231-487-4638",
            "fax_number": "231-487-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYMA",
        "first_name": "DREW",
        "middle_name": "E",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-19",
        "last_updated": "2014-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; 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.