Active NPI
Lowell Medical Specialists, PC
- Internal Medicine Physician
- Lowell, MI
National Provider Identifier
1508034141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301050027
- Legal business name
- LOWELL MEDICAL SPECIALISTS, PC
- Practice address
- 1150 N Hudson St
Lowell, MI 49331-1000 - Phone
- (616) 897-8436
- Fax
- (616) 897-5364
- NPI assigned
- Feb 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Dawson
- Title
- Office Manager
- Phone
- (616) 897-8436
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301050027 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 4301063084 | MI | |
| Pediatrics Physician | 208000000X | 4301050027 | MI | |
| Pediatrics Physician | 208000000X | 4301063084 | MI |
Addresses
Primary practice location
1150 N Hudson St
Lowell, MI 49331-1000
Mailing address
1150 N Hudson St
Lowell, MI 49331-1000
Phone (616) 897-8436
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB8671 | Other | MI | MEDICARE RAILROAD |
| 110089735 | Other | MI | MEDICARE RAILROAD |
| 110D148490 | Other | MI | BCBSM |
| 0D14849 | Other | MI | MEDICARE |
| 103062947 | Medicaid | MI | |
| 110110939 | Other | MI | MEDICARE RAILROAD |
| 3088774 | Medicaid | MI | |
| 4119931 | Other | MI | BCBSM |
| 4178342 | Other | MI | BCBSM |
| 1104119931 | Other | MI | BCBSM |
| 1104178342 | Other | MI | BCBSM |
| 103088774 | Medicaid | MI | |
| 0D14849 | Other | MI | MEDICARE RAILROAD |
| 3062947 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1508034141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 N HUDSON ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493311000",
"telephone_number": "616-897-8436",
"fax_number": "616-897-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N HUDSON ST",
"city": "LOWELL",
"state": "MI",
"postal_code": "493311000",
"telephone_number": "616-897-8436",
"fax_number": "616-897-5364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWELL MEDICAL SPECIALISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-18",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "616-897-8436"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301050027",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301063084",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "4301050027",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "4301063084",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CB8671",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110089735",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "110D148490",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0D14849",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103062947",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110110939",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3088774",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "4119931",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "4178342",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1104119931",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1104178342",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103088774",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "0D14849",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3062947",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.