North Street Medical Center P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH STREET MEDICAL CENTER P C

Doing business as

NORTH SIDE FAMILY PRACTICE

Practice address

1457 N. M-52
Unit 2
Owosso, MI 48867

Phone

(989) 723-5136

Fax

(989) 723-8269

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Jodi S. Flanders, D.O.

Title

Physician & Practice Owner

Phone

(989) 723-5136

Specialties & licenses 1

Addresses

Other names 1

• NORTH SIDE FAMILY PRACTICE Doing business as

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1730248410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 N. M-52",
            "address_2": "UNIT 2",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48667",
            "telephone_number": "989-723-5136",
            "fax_number": "989-723-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 N. M-52",
            "address_2": "UNIT 2",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "48867",
            "telephone_number": "989-723-5136",
            "fax_number": "989-723-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STREET MEDICAL CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "FLANDERS",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN & PRACTICE OWNER",
        "authorized_official_telephone_number": "989-723-5136",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH SIDE FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Nichols
• Roger Paul Nichols
• Levi Alexander Nixon
• Shadoe S Nolph
• Ahmad-Reza Noroozi, DDS
• Dustin G Nowacek, MD
• Kylie O'Brien
• Katie Louise O'Dell
• Patrick J O'Hara
• Oakland Orthopedic Appliances Inc

• Family Medicine Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.