NPIMap

Organization Active NPI

Memorial Hospital

Doing business as Memorial Medical Associates

  • Anesthesiology Physician
  • Owosso, MI
National Provider Identifier
1659527737
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEMORIAL HOSPITAL
Doing business as
Memorial Medical Associates
Practice address
826 W King St
Owosso, MI 48867-2120
Phone
(989) 723-5211
Fax
(989) 723-9446
NPI assigned
Aug 8, 2008
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Jorri Tremain
Title
Associate Vice President of Finance
Phone
(989) 729-4466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

826 W King St
Owosso, MI 48867-2120

Mailing address

826 W King St
Owosso, MI 48867-2120
Phone (989) 723-5211

Other names 1

  • Memorial Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000907 MI Part B Supplier - Clinic/Group Practice 8527976497 Receives reassigned benefits from 363 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owosso, MI; Perry, MI; Saginaw, MI; Saint Johns, MI; Howell, MI; Ovid, MI; Okemos, MI; Laingsburg, MI…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Memorial Healthcare Center

Locations (25 of 59)

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

500 Griswold St
Ste 300
Detroit, MI 48226
Phone (313) 552-3540

9099 E Lansing Rd
Durand, MI 48429
Phone (989) 288-1800

9099 E Lansing Rd
Ste A
Durand, MI 48429
Phone (989) 288-2651

9099 E Lansing Rd
Ste C
Durand, MI 48429
Phone (989) 288-0316

9099 E Lansing Rd
Ste E
Durand, MI 48429
Phone (989) 288-3300

1123 Villa Linde Ct
Ste 38
Flint, MI 48532
Phone (810) 733-7221

218 W Main St
Ste 100
Flushing, MI 48433
Phone (989) 720-7562

218 W Main St
Ste 200
Flushing, MI 48433
Phone (989) 723-5211

317 E Grand River Rd
Laingsburg, MI 48848
Phone (517) 651-2801

317 E Grand River Rd
Ste 2
Laingsburg, MI 48848
Phone (517) 919-1500

2525 Jolly Rd
Ste 240
Okemos, MI 48864
Phone (855) 276-2111

2525 Jolly Rd
Ste 240B
Okemos, MI 48864
Phone (989) 729-4673

9900 W M 21
Ste 102
Ovid, MI 48866
Phone (989) 834-4040

100 Health Park Dr
Ste 100
Owosso, MI 48867
Phone (989) 725-8847

1002 E M 21
Ste 100
Owosso, MI 48867
Phone (989) 720-5400

1002 E M 21
Ste 101
Owosso, MI 48867
Phone (989) 725-7704

1053 E M 21
Ste 204
Owosso, MI 48867
Phone (989) 729-7778

113 E Williams St
Ste 101
Owosso, MI 48867
Phone (989) 725-6101

113 E Williams St
Ste 102
Owosso, MI 48867
Phone (989) 729-4652

114 W North St
Owosso, MI 48867
Phone (989) 723-5211

1310 W Oliver St
Owosso, MI 48867
Phone (989) 218-8177

1488 N M 52
Ste 100
Owosso, MI 48867
Phone (989) 723-9488

1488 N M 52
Ste 150
Owosso, MI 48867
Phone (989) 729-4700

1490 N M 52
Ste 3
Owosso, MI 48867
Phone (989) 729-4828

Practitioners & affiliated clinicians

Practitioners 446

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.

View all 446

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1659527737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "989-723-5211",
            "fax_number": "989-723-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "989-723-5211",
            "fax_number": "989-723-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL",
        "enumeration_date": "2008-08-08",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "TREMAIN",
        "authorized_official_first_name": "JORRI",
        "authorized_official_title_or_position": "ASSOCIATE VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "989-729-4466"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 2020; 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.