Organization Active NPI

Osteopathic Health Care Associates

  • Internal Medicine Physician
  • Utica, MI
National Provider Identifier
1487045688
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101014038 Issued in MI
Legal business name
OSTEOPATHIC HEALTH CARE ASSOCIATES
Practice address
44720 Van Dyke Ave
Utica, MI 48317-5480
Phone
(586) 221-2791
Fax
(586) 231-0716
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Michael Shane Patterson, DONPI 1891724688
Title
Owner/Physician
Phone
(586) 221-2791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 5101014038 MI Primary

Addresses

Primary practice location

44720 Van Dyke Ave
Utica, MI 48317-5480

Mailing address

44720 Van Dyke Ave
Utica, MI 48317-5480
Phone (586) 221-2791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150414002512 MI Part B Supplier - Clinic/Group Practice 2466770813 Receives reassigned benefits from 2 practitioners
Practice locations: Utica, MI

National Provider Directory

National Provider Directory

Locations

43650 Garfield Rd
Ste 100
Clinton Township, MI 48038
Phone (586) 221-2791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJEBD

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1487045688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44720 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175480",
            "telephone_number": "586-221-2791",
            "fax_number": "586-231-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44720 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175480",
            "telephone_number": "586-221-2791",
            "fax_number": "586-231-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC HEALTH CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "586-221-2791",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.