Active NPI
Internal Medicine Specialists of Howell, PLLC
- Gastroenterology Physician
- Howell, MI
National Provider Identifier
1679650568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- WB007205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4639196 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Howell, MI
- NPI 1972507739
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.