Seminole Shores Internal Medicine PC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

4301062711 Issued in MI

Legal business name

SEMINOLE SHORES INTERNAL MEDICINE PC

Practice address

433 Seminole Rd
Suite 105
Muskegon, MI 49444-3743

Phone

(231) 739-2192

Fax

(231) 739-2343

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carl Anthony Ogas, M.D.

Title

Owner

Phone

(231) 739-2192

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1467631804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SEMINOLE RD",
            "address_2": "SUITE 105",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443743",
            "telephone_number": "231-739-2192",
            "fax_number": "231-739-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SEMINOLE RD",
            "address_2": "SUITE 105",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443743",
            "telephone_number": "231-739-2192",
            "fax_number": "231-739-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE SHORES INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "OGAS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-739-2192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301062711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1106110251",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4559980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina E Seaver, RMA
• Karen Louise Seaver, MD
• Soley Ann Seewald
• Emilie Jo Seibert
• Janell M Selle
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• Senior Resources of West Michigan
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• Sports Medicine (Internal Medicine) Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Sports Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.