Active NPI
Owosso Medical Group, PC
- Sleep Specialist (PhD)
- Owosso, MI
National Provider Identifier
1518119031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Specialist (PhD)
- Legal business name
- OWOSSO MEDICAL GROUP, PC
- Practice address
- 200 Health Park Dr
Owosso, MI 48867-1291 - Phone
- (989) 723-8666
- NPI assigned
- Oct 15, 2008
- Organization subpart
- Yes
- Parent organization
- OWOSSO MEDICAL GROUP, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teresa L Wiegel
- Title
- Accounting/General Manager
- Phone
- (989) 723-8666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Specialist (PhD) | 173F00000X | Primary |
Addresses
Primary practice location
200 Health Park Dr
Owosso, MI 48867-1291
Mailing address
200 Health Park Dr
Owosso, MI 48867-1291
Phone (989) 723-8666
National Provider Directory
National Provider Directory- Part of
- Owosso Medical Group PC
Locations
200 Health Park Dr
Owosso, MI 48867
Phone (517) 723-8666
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Multi-Specialty Clinic/Center
- Owosso, MI
- NPI 1023105418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1518119031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HEALTH PARK DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671291",
"telephone_number": "989-723-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEALTH PARK DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671291",
"telephone_number": "989-723-8666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OWOSSO MEDICAL GROUP, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OWOSSO MEDICAL GROUP, PC",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "WIEGEL",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ACCOUNTING/GENERAL MANAGER",
"authorized_official_telephone_number": "989-723-8666",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "173F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Sleep Specialist, PhD",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.