Okemos Osteopathic Center PLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101009343 Issued in MI

Legal business name

OKEMOS OSTEOPATHIC CENTER PLC

Practice address

2501 Jolly Road
Suite 120
Okemos, MI 48864-3676

Phone

(517) 381-0299

Fax

(517) 381-9950

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea G Johnson, D.O., M.S.NPI 1679568174

Title

Owner-Sole Proprietor

Phone

(517) 381-0299

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea G Johnson, CSPOMM DO MB

  • Neuromusculoskeletal Medicine & OMM Physician
  • Okemos, MI
  • NPI 1679568174
  Authorized official Same address or phone

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1528337094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JOLLY ROAD",
            "address_2": "SUITE 120",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643676",
            "telephone_number": "517-381-0299",
            "fax_number": "517-381-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JOLLY ROAD",
            "address_2": "SUITE 120",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643676",
            "telephone_number": "517-381-0299",
            "fax_number": "517-381-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMOS OSTEOPATHIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER-SOLE PROPRIETOR",
        "authorized_official_telephone_number": "517-381-0299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O., M.S."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101009343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okemos Dental, PLLC
• Okemos Family Chiropractic Inc
• Okemos Family Dentistry, P.C.
• Okemos Opco, LLC (Medilodge of Okemos)
• Okemos Optometry,PC
• Okemos Pediatric Dentistry
• Okemos Primary Care Physicians PC
• Okemos Psychological Consultanats
• Okemos Psychological Services, LLC
• Okemos Smile Center of Michigan PLLC

• General Practice Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.