Organization Active NPI

Mid-Michigan General Surgery PLLC

  • Specialist
  • Owosso, MI
National Provider Identifier
1740342252
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5101013860 Issued in MI
Legal business name
MID-MICHIGAN GENERAL SURGERY PLLC
Practice address
1480 N M-52
Suite 104
Owosso, MI 48867-0215
Phone
(989) 723-3168
Fax
(989) 725-2962
NPI assigned
Dec 14, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Nathan P Tomita, D.O.NPI 1255312401
Title
President
Phone
(989) 723-3168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5101013860 MI Primary

Addresses

Primary practice location

1480 N M-52
Suite 104
Owosso, MI 48867-0215

Mailing address

P O Box 215
Owosso, MI 48867-0215
Phone (989) 723-3168

National Provider Directory

National Provider Directory

Locations

1216 W Main St
Owosso, MI 48867
Phone (517) 723-3168

1480 N M 52
Ste 104
Owosso, MI 48867
Phone (989) 723-3168

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1740342252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 215",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488670215",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N M-52",
            "address_2": "SUITE 104",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488670215",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN GENERAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "TOMITA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-723-3168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101013860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2008; 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.