Organization Active NPI

Internal Medicine Specialists of Howell, PLLC

  • Gastroenterology Physician
  • Howell, MI
National Provider Identifier
1679650568
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
WB007205 Issued in MI
Legal business name
INTERNAL MEDICINE SPECIALISTS OF HOWELL, PLLC
Practice address
820 Byron Rd
Suite 200
Howell, MI 48843-1098
Phone
(517) 548-1246
Fax
(517) 548-9164
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
William A Bush, D.O.
Title
Owner
Phone
(517) 548-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X WB007205 MI Primary

Addresses

Primary practice location

820 Byron Rd
Suite 200
Howell, MI 48843-1098

Mailing address

820 Byron Rd
Suite 200
Howell, MI 48843-1098
Phone (517) 546-1246

Other identifiers 1

IdentifierTypeStateIssuer
4639196MedicaidMI

National Provider Directory

National Provider Directory

Locations

820 Byron Rd
Ste 100
Howell, MI 48843
Phone (517) 548-1246

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1679650568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BYRON RD",
            "address_2": "SUITE 200",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431098",
            "telephone_number": "517-546-1246",
            "fax_number": "517-548-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BYRON RD",
            "address_2": "SUITE 200",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431098",
            "telephone_number": "517-548-1246",
            "fax_number": "517-548-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SPECIALISTS OF HOWELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-548-1246",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "WB007205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4639196",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.