Northwestern Michigan Neonatology

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

NORTHWESTERN MICHIGAN NEONATOLOGY

Practice address

1105 6TH St
Traverse City, MI 49684-2345

Phone

(231) 935-5522

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven St. Charles, M.D.NPI 1538239793

Title

Director Nicu

Phone

(231) 935-5522

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Steven St. Charles, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Traverse City, MI
  • NPI 1538239793
  Authorized official Same address or phone

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1740488733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MICHIGAN NEONATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "ST. CHARLES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR NICU",
        "authorized_official_telephone_number": "231-935-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Senior Resources Incorporated (Area Agency on Aging of Northwest Michigan)
• Northwestern Michigan College (Northwestern Michigan College Student Health Services)
• Northwestern Michigan Dermatology
• Northwestern Michigan Dermatology PC
• Northwestern Michigan Emergency Physicians PC
• Northwood Cosmetic Dental Group, PC
• Northwood Obstetrics and Gynecology,PC
• Niklas Norton
• Mark D Noss, OD
• Rebekah Sue Noss, OD

• Neonatal-Perinatal Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Neonatal-Perinatal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.