Mason Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MASON MEDICAL GROUP PC

Practice address

710 Temple St
Mason, MI 48854-8624

Phone

(517) 244-1000

Fax

(517) 244-1030

NPI assigned

Jun 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Deweerd, D.O.NPI 1669428827

Title

Owner

Phone

(517) 244-1000

Specialties & licenses 1

Addresses

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

Practitioners 2

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

• Jeffrey Scott Deweerd, DO

  • Family Medicine Physician
  • Mason, MI
  • NPI 1669428827
  Medicare reassignment NPD Authorized official
• Corrine Elizabeth Garner, DO

  • Family Medicine Physician
  • Mason, MI
  • NPI 1275540825
  NPD

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1457701799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TEMPLE ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488548624",
            "telephone_number": "517-244-1000",
            "fax_number": "517-604-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 TEMPLE ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488548624",
            "telephone_number": "517-244-1000",
            "fax_number": "517-244-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "DEWEERD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-244-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halley Marciniak
• Kathleen M Martin, OTRL, CBIS
• Mason Dental Group PC
• Mason Family Dentistry, P.C.
• Mason Family Medicine, PLLC
• Mason Pediatrics
• Matthew Stone LMSW LLC
• May Family Chiropractic, PLLC
• Karen Elizabeth May, DC
• MB Dental Solutions

• Family Medicine Physician in Mason, MI
• Providers in Mason, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.